Organization
THE ARC OF NORTHEAST INDIANA, INC
Active
Parent organization
618IFE08
Other names
Easter Seals ARC of Northeast Indiana
Organization subpart
Yes
Provider details
NPI number
Legal business name
618IFE08
Authorized official
MS. DONNA ELBRECHT (CEO/PRESIDENT)
(260) 456-4534
Entity
Organization
Contact information
Practice address
2827 TILLMAN ROAD, FORT WAYNE, IN 46816
(260) 456-4534
(260) 745-5200
Mailing address
4919 COLDWATER ROAD, 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
2602I0004JN08
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233730
—
IN
Enumeration date
12/15/2006
Last updated
01/06/2025
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