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
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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