DUNGARVIN INDIANA LLC NPI 1275743205

NPI Information

DUNGARVIN INDIANA, LLC is a residential treatment facility, intellectual and/or developmental disabilities in South Bend, IN. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. DUNGARVIN INDIANA, LLC NPI is 1275743205. The provider is registered as an organization entity type.

The provider's business location address is:

3575 MOREAU CT STE 200
SOUTH BEND, IN
ZIP 46628-387
Phone: (574) 245-5400
Fax: (574) 245-5440

The provider's authorized official is Lori Kress .
The authorized official title is Ceo and has the following contact phone number (651) 699-0206.

The CLIA number assigned to this NPI record is 15D2006831 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 4/27/2023.

Taxonomy Codes

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Other Identifiers

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