NPI 1629941075

Lavish Royalty Disability Solutions LLC

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

Practice location

Address: 10439 W State Road 14, Fort Wayne, IN 46814-9181
Phone: (574) 971-1610

Authorised official

Name: Kaeisha Murdock
Title: Director
Phone: (574) 971-1610

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1629941075
Entity type: Organization
NPI issued: 23 Sep 2025
Record last updated: 23 Sep 2025

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.