1275743205 DUNGARVIN INDIANA, LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- DUNGARVIN INDIANA, LLC
- Enumeration Date
- May 22, 2007
- Last Update
- April 27, 2023
- Authorized Official
- LORI KRESS
CEO
Phone: (651) 699-0206
Practice Location
- Address
- 3575 MOREAU CT STE 200
SOUTH BEND, IN 466284387 - Phone
- (574) 245-5400
- Fax
- (574) 245-5440
Mailing Address
- Address
- 1444 NORTHLAND DR STE 200
MENDOTA HEIGHTS, MN 551201032 - Phone
- (651) 699-0206
- Fax
- (651) 699-0799
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Intermediate Care Facility, Intellectual Disabilities | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100239960 | 05 | IN | N/A |
| 100245120 | 05 | IN | N/A |
| 100245230 | 05 | IN | N/A |
| 100244770 | 05 | IN | N/A |
| 100244780 | 05 | IN | N/A |
| 100239800 | 05 | IN | N/A |
| 100244830 | 05 | IN | N/A |
| 100244950 | 05 | IN | N/A |
| 100230070 | 05 | IN | N/A |
Frequently Asked Questions
What is DUNGARVIN INDIANA, LLC's NPI number?
DUNGARVIN INDIANA, LLC's NPI number is 1275743205.
Which doctor has NPI number 1275743205?
The doctor with NPI number 1275743205 is DUNGARVIN INDIANA, LLC.
What is DUNGARVIN INDIANA, LLC's practice address?
DUNGARVIN INDIANA, LLC's practice address is 3575 MOREAU CT STE 200, SOUTH BEND, IN, 466284387.
Which doctor practices at 3575 MOREAU CT STE 200, SOUTH BEND, IN, 466284387?
DUNGARVIN INDIANA, LLC practices at 3575 MOREAU CT STE 200, SOUTH BEND, IN, 466284387.
What is DUNGARVIN INDIANA, LLC's mailing address?
DUNGARVIN INDIANA, LLC's mailing address is 1444 NORTHLAND DR STE 200, MENDOTA HEIGHTS, MN, 551201032.
What is DUNGARVIN INDIANA, LLC's phone number?
DUNGARVIN INDIANA, LLC's phone number is (574) 245-5400.
Who is (574) 245-5400?
(574) 245-5400 is the phone number for DUNGARVIN INDIANA, LLC.
What is DUNGARVIN INDIANA, LLC's specialty?
DUNGARVIN INDIANA, LLC's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is DUNGARVIN INDIANA, LLC?
DUNGARVIN INDIANA, LLC is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is DUNGARVIN INDIANA, LLC a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, DUNGARVIN INDIANA, LLC is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is DUNGARVIN INDIANA, LLC still practicing?
Yes, DUNGARVIN INDIANA, LLC is currently practicing.
Is DUNGARVIN INDIANA, LLC accepting new patients?
DUNGARVIN INDIANA, LLC may be accepting new patients. Please call their office at (574) 245-5400 to inquire about availability.
Is NPI 1275743205 still active?
Yes, NPI 1275743205 is currently active.
Where does DUNGARVIN INDIANA, LLC practice?
DUNGARVIN INDIANA, LLC practices in SOUTH BEND, IN.