Organization
RESIDENTIAL CRF, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND A MAUGER (PRESIDENT)
(765) 825-5129
Entity
Organization
Contact information
Practice address
311 N DORSETT DR, CONNERSVILLE, IN 47331-9672
(765) 827-4542
Mailing address
1117 N CENTRAL AVE, CONNERSVILLE, IN 47331-2126
(765) 825-5129
(765) 825-0074
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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