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State Of Indiana, Auditor Of State
Intellectual Disabilities Intermediate Care Facility in Logansport, Indiana
NPI 1902856768

State Of Indiana, Auditor Of State is a Intellectual Disabilities Intermediate Care Facility based in Logansport, IN. State Of Indiana, Auditor Of State practices in Logansport, IN. The NPI Number for State Of Indiana, Auditor Of State is 1902856768 and holds a License No. (Indiana).

The current practice location address for State Of Indiana, Auditor Of State is 1098 S State Road 25, Logansport, IN and can be reached out via phone at 574-722-4141 and via fax at 574-735-3414.

Location: 1098 S State Road 25, Logansport, IN, 46947-6723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902856768
Provider Name
State Of Indiana, Auditor Of State
Credential
Provider Entity Type
Organization
Address
1098 S State Road 25, Logansport, IN, 46947-6723
Phone Number
574-722-4141
Fax Number
574-735-3414
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1098 S State Road 25
City
Logansport
State
Indiana
Zip
46947-6723
Phone Number
574-722-4141
Fax Number
574-735-3414
person
Provider Business Mailing Address Details
Address
1098 S State Road 25
City
Logansport
State
Indiana
Zip
46947-6723
Phone Number
574-722-4141
Fax Number
574-735-3414
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
(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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