BILLY MADGETT

GARY, IN
NPI1407224603
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date2015-09-04
Last Update Date2015-09-04
Business Address
-- BILLY MADGETT
4747 W 24TH AVE
GARY, IN 46406-2821
Phone number: 219-240-6015
Mailing Address
-- BILLY MADGETT
4747 W 24TH AVE
GARY, IN 46406-2821
Phone number: 219-240-6015
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