Jay-Randolph Developmental Services, Inc
Jay-Randolph Developmental Services, Inc is an Intellectual Disabilities Intermediate Care Facility in Portland, Indiana. Licensed in Indiana. Registered with an NPI since 2006.
- Licensed in
- IN
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
901 E Water StPortland, IN 47371-2038
Phone: (260) 726-7931
Fax: (260) 726-8184
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 2623I0005JN06 (IN) |
|---|---|
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 2623I0004JN07 (IN) |
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 2623B0006JN06 (IN) |
| Intellectual Disabilities Intermediate Care Facility | Taxonomy 315P00000X · Licence 2623T0003JN07 (IN) |
Record details
| NPI number | 1831143478 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anita Young — Executive Director · (260) 726-7931 |
| NPI enumerated | May 19, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 901 E Water St, Portland, IN 47371-2038 |