Organization · Type 2 NPI
Cg-Dsa, LLC
Mental Illness Intermediate Care Facility · Angola, IN
NPI number
1720721707
Active
Practice location
1102 W Mill St
Angola, IN 46703-1344
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | None listed |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
2 other providers at this address
About NPI 1720721707
Cg-Dsa, LLC's National Provider Identifier is 1720721707, issued on Apr 18, 2022. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Angola, IN. The record was last updated on Apr 18, 2022.