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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
38 RYAN DR, TRAFALGAR, IN 46181-9526
(765) 521-0320
(765) 521-4454
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
2508B0015DE08
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100245020A
IN
Enumeration date
10/11/2006
Last updated
05/13/2023
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