Organization · Type 2 NPI
Goforth Residential Services LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Avon, IN
Practice location
2413 Prophetstown Rd
Avon, IN 46123-5921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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About NPI 1447004262
Goforth Residential Services LLC's National Provider Identifier is 1447004262, issued on Apr 16, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Avon, IN. The record was last updated on Apr 16, 2024.