Macon Mentor Academy
Macon Mentor Academy is a Child Intellectual and/or Developmental Disabilities Respite Care in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2012.
- Licensed in
- IN
- In the registry since
- 2012
Practice location Address checks out
3451 N Kingsley DrBloomington, IN 47404-1717
Phone: (317) 480-2949
Fax: (812) 369-4082
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child Intellectual and/or Developmental Disabilities Respite Care (primary) | Taxonomy 385HR2060X (IN) |
|---|
Record details
| NPI number | 1609127646 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Macon — Executive Director · (317) 480-2949 |
| NPI enumerated | October 1, 2012 |
| Last updated in NPPES | October 1, 2012 |
| Mailing address | 3451 N Kingsley Dr, Bloomington, IN 47404-1717 |