Organization · Type 2 NPI

Dungarvin Indiana, LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Bend, IN

NPI number 1275743205 Active

Practice location

3575 Moreau Ct Ste 200
South Bend, IN 46628-4387

Call (574) 245-5400 Map

Fax (574) 245-5440

Mailing address

1444 Northland Dr Ste 200
Mendota Heights, MN 55120-1032

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility 315P00000XNone listed
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000XNone listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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About NPI 1275743205

Dungarvin Indiana, LLC's National Provider Identifier is 1275743205, issued on May 22, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in South Bend, IN. The record was last updated on Apr 27, 2023.