Organization
REM OCCAZIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
1206 S MAIN ST, NEW CASTLE, IN 47362-2870
(765) 521-0320
Mailing address
9000 KEYSTONE XING STE 200, INDIANAPOLIS, IN 46240-2148
(800) 388-5150
(617) 790-4271
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2508B0017DE08
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200854080A
—
IN
Enumeration date
06/11/2007
Last updated
05/13/2023
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