location
search-icon
institution
Macon Mentor Academy
Child Intellectual and/or Developmental Disabilities Respite Care in Bloomington, Indiana
NPI 1609127646

Macon Mentor Academy is a Child Intellectual and/or Developmental Disabilities Respite Care based in Bloomington, IN and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Macon Mentor Academy practices in Bloomington, IN. The NPI Number for Macon Mentor Academy is 1609127646 and holds a License No. (Indiana).

The current practice location address for Macon Mentor Academy is 3451 N Kingsley Dr, Bloomington, IN and can be reached out via phone at 317-480-2949 and via fax at 812-369-4082.

Location: 3451 N Kingsley Dr, Bloomington, IN, 47404-1717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609127646
Provider Name
Macon Mentor Academy
Credential
Provider Entity Type
Organization
Address
3451 N Kingsley Dr, Bloomington, IN, 47404-1717
Phone Number
317-480-2949
Fax Number
812-369-4082
Provider Enumeration Date
10/01/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
201091380 A 05 IN
institution
Provider Business Practice Location Address Details
Address
3451 N Kingsley Dr
City
Bloomington
State
Indiana
Zip
47404-1717
Phone Number
317-480-2949
Fax Number
812-369-4082
person
Provider Business Mailing Address Details
Address
3451 N Kingsley Dr
City
Bloomington
State
Indiana
Zip
47404-1717
Phone Number
317-480-2949
Fax Number
812-369-4082
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(Indiana)
Definition
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.
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.