Organization
LOGAN COMMUNITY RESOURCES
Active
Other names
Logan Building Blocks
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN HARSHMAN (CEO)
(574) 289-4831
Entity
Organization
Contact information
Practice address
2505 E JEFFERSON BLVD, SOUTH BEND, IN 46615-2635
(574) 289-4831
Mailing address
PO BOX 1049, SOUTH BEND, IN 46624-1049
(574) 289-4831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200713940
—
IN
Enumeration date
06/05/2008
Last updated
06/05/2008
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