Organization · Type 2 NPI

Logan Community Resources, Inc

Intellectual and/or Developmental Disabilities Residential Treatment Facility · South Bend, IN

NPI number 1154531184 Active

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

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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.