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Respite Care, Mental Illness, Child

Terre Haute, Indiana

Provider NPI: 1386713279

Organization Information:
Organization Name:  GIBAULT, INC.

Practice Location:
6301 S US HWY 41  TERRE HAUTE, IN 47802 US
Tel: 812-299-1156  Fax: --

Business Mailing Address:
Tel: --  Fax: --


PrimaryCodeCategory/DescriptionStateLicense Number
Y385HR2055XRespite Care Facility
Respite Care
Respite Care, Mental Illness, Child

Other Provider Identifiers:

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin


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