THE ARC OF NORTHEAST INDIANA INC. NPI 1689051757

NPI Information

THE ARC OF NORTHEAST INDIANA, INC. is an intermediate care facility mentally retarded in Fort Wayne, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. THE ARC OF NORTHEAST INDIANA, INC. NPI is 1689051757. The provider is registered as an organization entity type.
The provider Is Doing Business As Easter Seals Arc Of Northeast Indiana.

The provider's business location address is:

4720 ASHLAND DR
FORT WAYNE, IN
ZIP 46835-510
Phone: (260) 449-9024

The provider's authorized official is Donna Elbrecht .
The authorized official title is President / Ceo and has the following contact phone number (260) 456-4534.

The CLIA number assigned to this NPI record is 15D0921447 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/28/2015 and was last updated on 2/25/2021.

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:

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