Highland Community Bridge, LLC
NPI #1417617176 in Plainfield, Indiana
Provider Information
- NPI Number
- 1417617176
- Entity Type
- Organization
- Organization Name
- Highland Community Bridge, LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 22, 2021
- Last Updated
- Dec 22, 2021
Practice Location
- Address
- 4752 STARDUST CIR
- City
- Plainfield
- State
- Indiana
- ZIP Code
- 46168-0108
- Phone
- (207) 518-0783
Authorized Official
- Name
- MUKUNDA K. ALBERT
- Title
- OWNER
- Phone
- (207) 518-0783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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