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LOGAN COMMUNITY RESOURCES INC NPI 1477763415


NPI Information

NPI: 1477763415
Provider Name: LOGAN COMMUNITY RESOURCES, INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1917 S WALNUT ST
SOUTH BEND, IN
ZIP 46613
Phone: (574) 289-4831
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LOGAN COMMUNITY RESOURCES, INC is a residential treatment facility, intellectual and/or developmental disabilities in South Bend, IN. The provider is 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. LOGAN COMMUNITY RESOURCES, INC NPI is 1477763415. The provider is registered as an organization entity type.

The provider's business location address is:

1917 S WALNUT ST
SOUTH BEND, IN
ZIP 46613-541
Phone: (574) 289-4831
Fax: (574) 234-2075

The provider's authorized official is Dan Harshman .
The authorized official title is Ceo and has the following contact phone number (574) 289-4831.

The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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