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NPI 1407933716

NPI 1407933716 : ACHIEVA RESOURCES CORPORATION, INC. : RICHMOND, IN

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General NPI Number Information
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    NPI Number           |    1407933716
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    Entity Type          |    Organization 
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    Legal Business Name  |    ACHIEVA RESOURCES CORPORATION, INC. 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    800 MENDLESON DR 
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    City                 |    RICHMOND
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    State                |    IN
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    Zip                  |    47374-1230
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    Country              |    US
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    Telephone            |    765-966-0502
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    Fax                  |    765-962-3179
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1252 
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    City                 |    RICHMOND
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    State                |    IN
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    Zip                  |    47375-1252
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    Country              |    US
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    Telephone            |    765-966-0502
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    Fax                  |    765-962-3179
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Authorized Official
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    Title or Position    |    CFO
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    Name                 |    MISS LISA  HUDDLESTON 
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    Credential           |    
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    Telephone            |    765-966-0502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    320600000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    IN
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    IN
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Taxonomy #5
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    IN
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