Organization · Type 2 NPI

State of Indiana, Auditor of State

Intellectual Disabilities Intermediate Care Facility · Logansport, IN

NPI number 1902856768 Active

Practice location

1098 S State Road 25
Logansport, IN 46947-6723

Fax (574) 735-3414

Specialties and licenses

TaxonomyCodeLicense
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

Other intellectual disabilities intermediate care facility providers in Logansport

See all in Logansport →

About NPI 1902856768

State of Indiana, Auditor of State's National Provider Identifier is 1902856768, issued on May 11, 2006. 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 Aug 22, 2020.