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GIBAULT, INC.

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: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y385HR2055XRespite Care Facility
Respite Care
Respite Care, Mental Illness, Child
IN32301

Other Provider Identifiers:

IssuerNumberStateType
200480150AIN05
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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