Residential CRF, Inc.

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

NPI 1104967751 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104967751
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual Disabilities Intermediate Care Facility 315P00000X
Legal business name
RESIDENTIAL CRF, INC.
Practice address
8500 W US Highway 36
Modoc, IN 47358-9495
Phone
(765) 853-5009
NPI assigned
Feb 8, 2007
Organization subpart
No

Authorized official

Name
Mr. Raymond A Mauger
Title
President
Phone
(765) 825-5129

Corporate family (same tax ID) 20

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

National Provider Directory

Tax ID family
Residential CRF Inc (21 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

8500 W US Highway 36
Modoc, IN 47358-9495

Mailing address

1117 N Central Ave
Connersville, IN 47331-2126
Phone (765) 825-5129

Other providers in Modoc, IN

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

Sources for this page

Verify at the official NPI Registry.