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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