Jay-Randolph Developmental Services, Inc.

NPI #1831143478 in Portland, Indiana

Provider Information

NPI Number
1831143478
Entity Type
Organization
Organization Name
Jay-Randolph Developmental Services, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
May 19, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
901 E WATER ST
State
Indiana
ZIP Code
47371-2038
Phone
(260) 726-7931

Authorized Official

Name
ANITA YOUNG
Title
EXECUTIVE DIRECTOR
Phone
(260) 726-7931

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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