CG-Dsa, LLC

Organization Active NPI Intellectual Disabilities Intermediate Care Facility · Lebanon, IN

NPI 1013590579 · NPPES record last updated May 3, 2021

Key facts

NPI
1013590579
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
CG-DSA, LLC
Practice address
2805 W 50 N
Lebanon, IN 46052-9513
Phone
(765) 361-1950
NPI assigned
May 3, 2021
Organization subpart
Yes
Parent organization (as reported)
CG-DSA, LLC

Authorized official

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

Corporate family (same tax ID) 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

National Provider Directory

Tax ID family
CG-Dsa LLC (41 organizations share this tax ID)
Part of
CG-Dsa LLC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Yes

Addresses

Primary practice location

2805 W 50 N
Lebanon, IN 46052-9513

Mailing address

4800 Overton PLZ Ste 440
Fort Worth, TX 76109-4435
Phone (800) 299-5161

Other providers in Lebanon, IN

All providers in Lebanon, IN · Intellectual Disabilities Intermediate Care Facility in Indiana

Sources for this page

Verify at the official NPI Registry.