# P L FORD HOMES/INDIANA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457670044
- **Authorized official:** PAULA L FORD (SOLE PROPRIETOR)
- **Authorized official phone:** (219) 427-0407

## Contact information

- **Practice address:** 519 E 60TH AVE, MERRILLVILLE, IN 46410-3068
- **Practice address phone:** (219) 427-0704
- **Mailing address:** 519 E 60TH AVE, MERRILLVILLE, IN 46410-3068
- **Mailing address phone:** (219) 427-0407

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 200976520 A | IN | Yes |

## Other

- **Enumeration date:** 05/22/2010
- **Last updated:** 05/22/2010