Organization
LOGAN COMMUNITY RESOURCES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN HARSHMAN (DIRECTOR OF FINANCE)
(574) 289-4831
Entity
Organization
Contact information
Practice address
2804 CORPUS CHRISTI DR, SOUTH BEND, IN 46628-3430
(574) 289-4831
(574) 234-2075
Mailing address
PO BOX 1049, SOUTH BEND, IN 46624-1049
(574) 289-4831
(574) 234-2075
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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