NPI 1003760679

Rejuvenate Residential Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Muncie, IN

Practice location

Address: 1904 E 22nd St, Muncie, IN 47302-5466
Phone: (765) 273-3391
Mailing address: 5112 N Hickory Rd, Muncie, IN 47303-1074

Authorised official

Name: Dominyse Davis
Title: Owner
Phone: (317) 985-3580

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Indiana →

Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Registry record

NPI: 1003760679
Entity type: Organization
NPI issued: 23 Feb 2026
Record last updated: 23 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.