# LOGAN COMMUNITY RESOURCES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154531184
- **Authorized official:** MR. DANIEL HARSHMAN (CEO)
- **Authorized official phone:** (574) 289-4831

## Contact information

- **Practice address:** 20089 LARK DR, SOUTH BEND, IN 46637-3023
- **Practice address phone:** (574) 289-4893
- **Practice address fax:** (574) 234-2075
- **Mailing address:** PO BOX 1049, SOUTH BEND, IN 46624-1049
- **Mailing address phone:** (574) 289-4831
- **Mailing address fax:** (574) 234-2075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020