Logan Community Resources, Inc in South Bend - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Logan Community Resources, Inc - NPI 1164632105
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 1164632105. The last update date is 2007-12-14.
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 | 1164632105 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-12-14 |
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Logan Community Resources, Inc?
The Logan Community Resources, Inc has been issued the NPI (National Provider Identifier) 1164632105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Logan Community Resources, Inc is located?
The Logan Community Resources, Inc is situated at the following address: Po Box 1049, South Bend, IN, 466241049.
What is Logan Community Resources, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Logan Community Resources, Inc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320600000X.
When did the Logan Community Resources, Inc receive its 1164632105?
The Logan Community Resources, Inc was issued its 1164632105 on 2007-05-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Logan Community Resources, Inc last refreshed?
The information related to the Logan Community Resources, Inc, including its address, specialty, and other relevant details, was last updated on 2007-12-14.