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Organization
JACKSON CENTER FOR CONDUCTIVE EDUCATION INC
Active
Organization
JACKSON CENTER FOR CONDUCTIVE EDUCATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELANIE KAY DEPOY (DEVELOPMENT DIRECTOR)
(317) 834-0200
Entity
Organization
Contact information
Practice address
802 N SAMUEL MOORE PKWY, MOORESVILLE, IN 46158-1467
(317) 834-0200
(317) 834-0203
Mailing address
802 N SAMUEL MOORE PKWY, MOORESVILLE, IN 46158-1467
(317) 834-0200
(317) 834-0203
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
1051276
IN
Other
Enumeration date
04/19/2007
Last updated
08/28/2019
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