Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual Disabilities Intermediate Care Facility · Shelbyville, IN
NPI number
1114592367
Active
Practice location
3222 S 125 E
Shelbyville, IN 46176-9332
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
Other intellectual disabilities intermediate care facility providers in Shelbyville
About NPI 1114592367
Cg-Dsa, LLC's National Provider Identifier is 1114592367, issued on May 20, 2021. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shelbyville, IN. The record was last updated on May 20, 2021.