Logan Community Resources, Inc in South Bend - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Logan Community Resources, Inc - NPI 1003026642

Logan Community Resources, Inc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in South Bend, Indiana. Logan Community Resources, Inc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Logan Community Resources, Inc is 1003026642. The last update date is 2020-08-22.

Logan Community Resources, Inc's current location address is Po Box 1049, South Bend, Indiana. You can contact this provider via phone number 5742894831 and fax number 5742342075. The mailing address for Logan Community Resources, Inc is Po Box 1049, South Bend, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Logan Community Resources, Inc
Address Po Box 1049, South Bend, Indiana
Phone Number 5742894831
Fax Number 5742342075
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO
Authorized Official Name Harshman Dan
Telephone Number 5742894831

NPI Number Detail

NPI Number 1003026642
Provider Enumeration Date 2007-05-23
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address Po Box 1049
City South Bend
State Indiana (IN)
Post Code 466241049
Phone Number 5742894831
Fax Number 5742342075

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

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FAQs about Logan Community Resources, Inc

What is the unique identifier code issued to Logan Community Resources, Inc by the Centers for Medicare & Medicaid Services?

The Logan Community Resources, Inc has been assigned the NPI (National Provider Identifier) 1003026642. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Logan Community Resources, Inc located?

The Logan Community Resources, Inc is located at Po Box 1049, South Bend, IN 466241049.

What is Logan Community Resources, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Logan Community Resources, Inc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320600000X.

On what date did Logan Community Resources, Inc receive its 1003026642 assignment from the Centers for Medicare & Medicaid Services?

The Logan Community Resources, Inc was assigned its 1003026642 on 2007-05-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Logan Community Resources, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Logan Community Resources, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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