Impact Community Economic Development Corp
NPI #1447128087 in South Bend, Indiana
Provider Information
- NPI Number
- 1447128087
- Entity Type
- Organization
- Organization Name
- Impact Community Economic Development Corp
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Oct 27, 2025
- Last Updated
- Oct 31, 2025
Practice Location
- Address
- 2404 LINCOLN WAY W
- City
- South Bend
- State
- Indiana
- ZIP Code
- 46628-1916
- Phone
- (574) 366-0801
Authorized Official
- Name
- MR. EDWIN A NEWSOME
- Title
- CEO
- Phone
- (574) 216-3497
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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