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THE ARC OF NORTHEAST INDIANA INC.

Intermediate Care Facility, Mentally Retarded

Fort Wayne, Indiana

Provider NPI: 1649333204

Organization Information:
Organization Name:  THE ARC OF NORTHEAST INDIANA INC.


Practice Location:
8626 STAND RIDGE RUN  FORT WAYNE, IN 46825 US
Tel: 260-456-4534  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
IN2602B0010JN05

Other Provider Identifiers:

IssuerNumberStateType
100244520IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS IN - Page 1



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