Nazareth Community Bridge, LLC
NPI #1356001861 in Noblesville, Indiana
Provider Information
- NPI Number
- 1356001861
- Entity Type
- Organization
- Organization Name
- Nazareth Community Bridge, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 23, 2021
- Last Updated
- Dec 23, 2021
Practice Location
- Address
- 15170 TROXEL DR E APT 302
- City
- Noblesville
- State
- Indiana
- ZIP Code
- 46060-5817
- Phone
- (207) 420-7669
Authorized Official
- Name
- CLAVER NDATABAYE
- Title
- OWNER
- Phone
- (207) 420-7669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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