Organization · Type 2 NPI
Cg-Dsa, LLC
Intellectual Disabilities Intermediate Care Facility · Angola, IN
NPI number
1801534177
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 |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
2 other providers at this address
About NPI 1801534177
Cg-Dsa, LLC's National Provider Identifier is 1801534177, issued on May 25, 2022. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Angola, IN. The record was last updated on May 25, 2022.