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Organization
WE ARE THE VILLAGE INC.
Active
Organization
WE ARE THE VILLAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAUNESIA DAVIS (FOUNDER)
(219) 512-0175
Entity
Organization
Contact information
Practice address
4030 W 5TH AVE, GARY, IN 46406-1740
(219) 777-8170
Mailing address
623 WASHINGTON ST, GARY, IN 46402-2401
(219) 512-0175
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
08/18/2020
Last updated
07/27/2023
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