Organization · Type 2 NPI

State of Indiana, Auditor of State

Intellectual Disabilities Intermediate Care Facility · Logansport, IN

NPI number 1861511370 Active

Practice location

1098 S State Road 25
Logansport, IN 46947-6723

Fax (574) 735-3414

Specialties and licenses

TaxonomyCodeLicense
Psychiatric Hospital 283Q00000XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

14 other providers at this address

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About NPI 1861511370

State of Indiana, Auditor of State's National Provider Identifier is 1861511370, issued on Mar 28, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Logansport, IN. The record was last updated on Sep 11, 2025.