NPI 1275743205

Dungarvin Indiana, LLC

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

Practice location

Address: 3575 Moreau CT STE 200, South Bend, IN 46628-4387
Phone: (574) 245-5400
Fax: (574) 245-5440
Mailing address: 1444 Northland Dr STE 200, Mendota Heights, MN 55120-1032

Authorised official

Name: Lori Kress
Title: Ceo
Phone: (651) 699-0206

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Intellectual Disabilities Intermediate Care Facility

Nursing & Custodial Care Facilities Taxonomy 315P00000X

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Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1275743205
Entity type: Organization
NPI issued: 22 May 2007
Record last updated: 27 Apr 2023

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.