Individual provider · Type 1 NPI
Freddie Pegues
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN
Practice location
10021 Sundley Dr
Indianapolis, IN 46239-9057
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.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Indianapolis
About NPI 1497563084
Freddie Pegues's National Provider Identifier is 1497563084, issued on Dec 27, 2024. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Indianapolis, IN. The record was last updated on Dec 27, 2024.