MACON MENTOR ACADEMY is a respite care and mental retardation and/or developmental disabilities respite care in Bloomington, IN. The provider is 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. MACON MENTOR ACADEMY NPI is 1609127646. The provider is registered as an organization entity type.
The provider's business location address is:
3451 N KINGSLEY DR
BLOOMINGTON, IN
ZIP 47404-717
Phone: (317) 480-2949
Fax: (812) 369-4082
The provider's authorized official is Jerry Lee Macon .
The authorized official title is Executive Director and has the following contact phone number (317) 480-2949.
The enumeration date for this NPI number is 10/1/2012 and was last updated on 10/1/2012.