| NPI | 1902856768 |
|---|---|
| Doing Business As | LOGANSPORT STATE HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT E. CLOVER Assistant Superintendent 574-737-3611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |