COMMUNITY LIVING, INC
Residential Treatment Facilities at Oak St, Moore, IN

License number
Indiana 2511I0002DE05
Category
Residential Treatment Facilities
Type
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities
Owner
Name: MR. RANDY THIEBAUT
Title: PRESIDENT
Phone: (260) 665-7681
Address
Address 2
413 W Oak St, Moore, IN 46721
PO Box 6, Fox Lake, IN 46703
National Provider ID: 1295773109
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about COMMUNITY LIVING, INC at bizstanding.com

Community Living Inc

429 N Superior St, Fox Lake, IN 46703

Industry:
Intermediate Care Facility
Branch Manager, President:
Randy Thiebaut (Branch Manager, President)

Residential Treatment Facilities licenses in Indiana