Organization
UMBRELLA FAMILY WAIVER SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA ANN RIEBSOMER RN (DIRECTOR)
(765) 932-1332
Entity
Organization
Contact information
Practice address
208 W 1ST ST, RUSHVILLE, IN 46173-1903
(765) 932-1332
(765) 825-5080
Mailing address
PO BOX 637, RUSHVILLE, IN 46173-0637
(765) 932-1332
(765) 932-1332
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
200445770B
IN
Other
Enumeration date
06/04/2006
Last updated
12/03/2012
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