Logan Community Resources, Inc in South Bend - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Logan Community Resources, Inc - NPI 1912117557
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 1912117557. 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 | 1912117557 |
|---|---|
| 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. |
|
Post Comment/ Review Below
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) 1912117557. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Logan Community Resources, Inc is geographically located?
The Logan Community Resources, Inc is physically situated at the following location: Po Box 1049, South Bend, IN, 466241049.
What is Logan Community Resources, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Logan Community Resources, Inc's area of specialization is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912117557 to Logan Community Resources, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1912117557 to Logan Community Resources, Inc on 2007-05-23.
As of what date were the details related to Logan Community Resources, Inc most recently updated or revised?
The information pertaining to Logan Community Resources, Inc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.