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Organization
MENNONITE DISABILITIES COMMITTEE, INC.
Active
Organization
MENNONITE DISABILITIES COMMITTEE, INC.
Active
Other names
MDC Goldenrod
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HEUSINKVELD (EXECUTIVE DIRECTOR)
(574) 533-9720
Entity
Organization
Contact information
Practice address
1518 COLLEGE AVE, GOSHEN, IN 46526-6527
(574) 533-9720
(574) 534-9817
Mailing address
1518 COLLEGE AVE, GOSHEN, IN 46526-6527
(574) 533-9720
(574) 534-9817
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
NULL
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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