Organization · Type 2 NPI
Logan Community Resources, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Bend, IN
Practice location
20089 Lark Dr
South Bend, IN 46637-3023
Fax (574) 234-2075
Mailing address
PO Box 1049
South Bend, IN 46624-1049
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1154531184
Logan Community Resources, Inc's National Provider Identifier is 1154531184, issued on May 22, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in South Bend, IN. The record was last updated on Aug 22, 2020.