Organization · Type 2 NPI
The Arc of Northeast Indiana Inc.
Intellectual Disabilities Intermediate Care Facility · Fort Wayne, IN
NPI number
1407919236
Active
Practice location
2522 Thompson Ave
Fort Wayne, IN 46807-1051
Fax (260) 745-5200
Mailing address
4919 Coldwater Rd
Fort Wayne, IN 46825-5532
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 2602B0001JN08 (IN) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1407919236
The Arc of Northeast Indiana Inc.'s National Provider Identifier is 1407919236, issued on Dec 19, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 22, 2020.