Jerrica Butler

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1952710626

Jerrica Butler is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Gary, Indiana. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since: 2014

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Practice location Address checks out

1100 W 6th Ave
Gary, IN 46402-1711
Phone: (219) 885-4264

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary)	Taxonomy 320600000X

Record details

NPI number	1952710626
Entity type	Individual (Type 1)
Gender	Female
Sole proprietor	Yes
NPI enumerated	August 7, 2014
Last updated in NPPES	August 7, 2014