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The Arc Of Northeast Indiana Inc.
Intellectual Disabilities Intermediate Care Facility in Fort Wayne, Indiana
NPI 1497818041

The Arc Of Northeast Indiana Inc. is a Intellectual Disabilities Intermediate Care Facility based in Fort Wayne, IN. The Arc Of Northeast Indiana Inc. practices in Fort Wayne, IN. The NPI Number for The Arc Of Northeast Indiana Inc. is 1497818041 and holds a License No. 2602B0007JN05 (Indiana).

The current practice location address for The Arc Of Northeast Indiana Inc. is 4724 Glenmary Dr, Fort Wayne, IN and can be reached out via phone at 260-456-4534 and via fax at 260-745-5200.

Location: 4724 Glenmary Dr, Fort Wayne, IN, 46825-5532
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1497818041
Provider Name
The Arc Of Northeast Indiana Inc.
Credential
Provider Entity Type
Organization
Address
4724 Glenmary Dr, Fort Wayne, IN, 46825-5532
Phone Number
260-456-4534
Fax Number
260-745-5200
Provider Enumeration Date
12/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100239610 05 IN
institution
Provider Business Practice Location Address Details
Address
4724 Glenmary Dr
City
Fort Wayne
State
Indiana
Zip
46806-2695
Phone Number
260-456-4534
Fax Number
260-745-5200
person
Provider Business Mailing Address Details
Address
4724 Glenmary Dr
City
Fort Wayne
State
Indiana
Zip
46806-2695
Phone Number
260-456-4534
Fax Number
260-745-5200
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2602B0007JN05 (Indiana)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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