NPI 1720721707

Cg-Dsa, LLC

Organisation Mental Illness Intermediate Care Facility Angola, IN

Practice location

Address: 1102 W Mill St, Angola, IN 46703-1344
Phone: (260) 833-4208
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

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Indiana →

Registry record

NPI: 1720721707
Entity type: Organization
NPI issued: 18 Apr 2022
Record last updated: 18 Apr 2022

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.