OrganizationActive
Cg-Dsa, LLC
NPI 1801534177 · Intellectual Disabilities Intermediate Care Facility · Angola, IN
Provider details
- NPI number
- 1801534177
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brandi Turner, Licensing and Contracts Coordinator(800) 299-5161
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
1102 W Mill St
Angola, IN 46703-1344
Phone: (260) 833-4208
Approximate (ZIP-level) locationGet directions
Mailing address
4800 Overton Plz Ste 440
Fort Worth, TX 76109-4435
Registry dates
- Enumerated
- 2022-05-25
- Last updated
- 2022-05-25
- Certified
- 2022-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.