Organization · Type 2 NPI
L.i.f.e. Adult Day Academy
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fort Wayne, IN
Practice location
5421 Homestead Rd
Fort Wayne, IN 46814-4964
Fax (260) 436-9921
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| 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 1891185849
L.i.f.e. Adult Day Academy's National Provider Identifier is 1891185849, issued on Jan 29, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jan 29, 2015.