MR. Roger Lee Higgins JR.
NPI #1750538427 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1750538427
- Entity Type
- Individual
- Name
- MR. Roger Lee Higgins JR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Aug 25, 2008
- Last Updated
- Aug 25, 2008
Practice Location
- Address
- 6104 W LAKE SOUTH DR
- Address 2
- APT A
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46224-7647
- Phone
- (317) 603-2694
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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Organizations
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| Hope Fountain Care LLC | |
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