NPI | 1861511370 |
---|---|
Doing Business As | LOGANSPORT STATE HOSPITAL |
Entity Type | Organization |
Authorized Contact | ROBERT E. CLOVER Assistant Superintendent 574-737-3611 |
Organization Subpart ? | No |
Primary Taxonomy | 283Q00000X Psychiatric Hospital |
Additional Taxonomies | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
Enumeration Date | 2007-03-28 |
Last Update Date | 2020-08-22 |