NPI 1205401452

Cg-Dsa, LLC

Organisation Intellectual Disabilities Intermediate Care Facility Lebanon, IN

Practice location

Address: 1275 Middle Jamestown Rd, Lebanon, IN 46052-9404
Phone: (765) 361-1950
Mailing address: 4800 Overton Plz STE 440, Fort Worth, TX 76109-4435

Authorised official

Name: Anna Todd
Title: Operations Business Manager
Phone: (800) 299-5161

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Indiana →

Registry record

NPI: 1205401452
Entity type: Organization
NPI issued: 20 May 2021
Record last updated: 20 May 2021

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.