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Logan Community Resources, Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in South Bend, Indiana
NPI 1093083461

Logan Community Resources, Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in South Bend, IN. Logan Community Resources, Inc practices in South Bend, IN. The NPI Number for Logan Community Resources, Inc is 1093083461 and holds a License No. (Indiana).

The current practice location address for Logan Community Resources, Inc is 2505 E Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-289-4831 and via fax at 574-234-2075.

Location: 2505 E Jefferson Blvd, South Bend, IN, 46615-2635
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093083461
Provider Name
Logan Community Resources, Inc
Credential
Provider Entity Type
Organization
Address
2505 E Jefferson Blvd, South Bend, IN, 46615-2635
Phone Number
574-289-4831
Fax Number
574-234-2075
Provider Enumeration Date
12/13/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
201036530 05 IN
institution
Provider Business Practice Location Address Details
Address
2505 E Jefferson Blvd
City
South Bend
State
Indiana
Zip
46615-2635
Phone Number
574-289-4831
Fax Number
574-234-2075
person
Provider Business Mailing Address Details
Address
2505 E Jefferson Blvd
City
South Bend
State
Indiana
Zip
46615-2635
Phone Number
574-289-4831
Fax Number
574-234-2075
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
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Definition
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.
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