Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual Disabilities Intermediate Care Facility · Lebanon, IN
NPI number
1205401452
Active
Practice location
1275 Middle Jamestown Rd
Lebanon, IN 46052-9404
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.
Other intellectual disabilities intermediate care facility providers in Lebanon
About NPI 1205401452
Cg-Dsa, LLC's National Provider Identifier is 1205401452, issued on May 20, 2021. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lebanon, IN. The record was last updated on May 20, 2021.