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REHABILITATION CENTER DEVELOPMENTAL SERVICES INC. NPI 1730242843


NPI Information

NPI: 1730242843
Provider Name: REHABILITATION CENTER DEVELOPMENTAL SERVICES, INC.

Doing Business As: FUQUAY GROUP HOME

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
420 FUQUAY RD
EVANSVILLE, IN
ZIP 47715
Phone: (812) 479-1411
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REHABILITATION CENTER DEVELOPMENTAL SERVICES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Evansville, IN. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. REHABILITATION CENTER DEVELOPMENTAL SERVICES, INC. NPI is 1730242843. The provider is registered as an organization entity type.
The provider Is Doing Business As Fuquay Group Home.

The provider's business location address is:

420 FUQUAY RD
EVANSVILLE, IN
ZIP 47715-718
Phone: (812) 479-1411
Fax: (812) 437-2636

The provider's authorized official is Fred G Miller .
The authorized official title is Cfo And Treas and has the following contact phone number (812) 479-1411.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 3/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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