Organization
MENNONITE DISABILITIES COMMITTEE, INC.
Active
Other names
MDC Goldenrod
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID HEUSINKVELD (EXECUTIVE DIRECTOR)
(574) 533-9720
Entity
Organization
Contact information
Practice address
1518 COLLEGE AVE, GOSHEN, IN 46526-6527
(574) 533-9720
(574) 534-9817
Mailing address
1518 COLLEGE AVE, GOSHEN, IN 46526-6527
(574) 533-9720
(574) 534-9817
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
08/22/2020
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