National Provider Identifier Database

JACKSON CENTER FOR CONDUCTIVE EDUCATION INC
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

JACKSON CENTER FOR CONDUCTIVE EDUCATION INC
802 N SAMUEL MOORE PKWY
MOORESVILLE, IN46158-1467
Phone: 317-834-0200
Fax: 317-834-0203
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for JACKSON CENTER FOR CONDUCTIVE EDUCATION INC

NPI Number 1568689818
Legal business name
LBN
JACKSON CENTER FOR CONDUCTIVE EDUCATION INC
Authorized official MELANIE DEPOY - (DEVELOPMENT DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 04/19/2007
Last updated 08/28/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • IN License #: 1051276

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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