Organization
COMMUNITY VENTURES IN LIVING, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE J MORTON (EXECUTIVE DIRECTOR)
(765) 449-0784
Entity
Organization
Contact information
Practice address
401 S EARL AVE, SUITE 2A, LAFAYETTE, IN 47904-3606
(765) 449-0784
(765) 447-0912
Mailing address
401 S EARL AVE, SUITE 2A, LAFAYETTE, IN 47904-3606
(765) 449-0784
(765) 447-0912
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
IN
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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