Organization
STATE OF INDIANA, AUDITOR OF STATE
Active
Other names
Logansport State Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT E. CLOVER (ASSISTANT SUPERINTENDENT)
(574) 737-3611
Entity
Organization
Contact information
Practice address
1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
(574) 735-3414
Mailing address
1098 S STATE ROAD 25, LOGANSPORT, IN 46947-6723
(574) 722-4141
(574) 735-3414
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
IN
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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