Individual provider · Type 1 NPI

Roger Lee Higgins Jr.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Indianapolis, IN

NPI number 1750538427 Active

Practice location

6104 W Lake South Dr, Apt A
Indianapolis, IN 46224-7647

Specialties and licenses

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 1750538427

Roger Lee Higgins Jr.'s National Provider Identifier is 1750538427, issued on Aug 25, 2008. 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 Aug 25, 2008.