Logansport Al, LLC
NPI #1629887062 in Logansport, Indiana
Provider Information
- NPI Number
- 1629887062
- Entity Type
- Organization
- Organization Name
- Logansport Al, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Dec 31, 2024
- Last Updated
- Dec 31, 2024
Practice Location
- Address
- 3901 HIGH ST
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-2562
- Phone
- (574) 739-2134
Authorized Official
- Name
- JONATHAN LITT
- Title
- SECRETARY/TREASURER
- Phone
- (646) 844-3603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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