Organization · Type 2 NPI
Macon Mentor Academy
Child Intellectual and/or Developmental Disabilities Respite Care · Bloomington, IN
NPI number
1609127646
Active
Practice location
3451 N Kingsley Dr
Bloomington, IN 47404-1717
Fax (812) 369-4082
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1609127646
Macon Mentor Academy's National Provider Identifier is 1609127646, issued on Oct 1, 2012. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Bloomington, IN. The record was last updated on Oct 1, 2012.