Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Logan Community Resources, Inc

Organization Developmentally Disabled Services Day Training Agency · NPI 1891917449

Logan Community Resources, Inc is a Developmentally Disabled Services Day Training Agency in South Bend, Indiana. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2505 E Jefferson Blvd
South Bend, IN 46615
Phone: (574) 289-4831
Fax: (574) 234-2075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1891917449
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clint Bolser — Ceo · (574) 289-4831
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 1, 2012
Mailing address2505 E. Jefferson Blvd, South Bend, IN 46615

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