OrganizationActive
Amicus Place, LLC.
NPI 1770167405 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Anderson, IN
Provider details
- NPI number
- 1770167405
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- George Davidson, Chief Executive Officer(765) 425-7794
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2427 Cedar Bnd
Anderson, IN 46011-1084
Phone: (765) 425-7794
Approximate (ZIP-level) locationGet directions
Mailing address
2427 Cedar Bnd
Anderson, IN 46011-1084
Registry dates
- Enumerated
- 2021-05-09
- Last updated
- 2021-05-09
- Certified
- 2021-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.