Organization
THE ARC OF NORTHEAST INDIANA INC.
Active
Other names
Easter Seals ARC of Northeast Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA ELBRECHT (PRESIDENT)
(260) 456-4534
Entity
Organization
Contact information
Practice address
1414 INWOOD DR, FORT WAYNE, IN 46815-7267
(260) 456-4534
(260) 745-5200
Mailing address
4919 COLDWATER RD, FORT WAYNE, IN 46825-5532
(260) 456-4534
(260) 745-5200
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2602I0002JN08
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233770
—
IN
Enumeration date
12/18/2006
Last updated
02/26/2013
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