Logan Community Resources, Inc

NPI 1003026642 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1003026642
Enumeration Date 05/23/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Position CEO
Phone (574) 289-4831
Fax (574) 234-2075
Practice Location
SOUTH BEND IN, 46613-1138, US
Phone (574) 289-4831
Fax (574) 234-2075
Business Location
PO BOX 1049
SOUTH BEND IN, 46624-1049, US
Phone (574) 289-4831
Fax (574) 234-2075
Taxonomy Code 320600000X
License State
License Number
Remove 1003026642 NPI Number

According to our database, Logan Community Resources, Inc NPI is 1003026642, taxonomy code is 320600000X Logan Community Resources, Inc physically located at 2105 Wabash St, South Bend IN, 46613-1138. NPI Number 1033115704 has the healthcare provider type.

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1003026642 NPI number is provided on an as is basis without warranty of any kind. 1003026642 is maintained by the National Plan & Provider Enumeration System. The contents of Logan Community Resources, Inc are for informational purposes only.