State of Indiana, Auditor of State
NPI #1902856768 in Logansport, Indiana
Provider Information
- NPI Number
- 1902856768
- Entity Type
- Organization
- Organization Name
- State of Indiana, Auditor of State
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- May 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1098 S STATE ROAD 25
- City
- Logansport
- State
- Indiana
- ZIP Code
- 46947-6723
- Phone
- (574) 722-4141
Authorized Official
- Name
- MR. ROBERT E. CLOVER
- Title
- ASSISTANT SUPERINTENDENT
- Phone
- (574) 737-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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