1609127646 MACON MENTOR ACADEMY
Child Intellectual and/or Developmental Disabilities Respite Care
Active
Basic Information
- Organization Name
- MACON MENTOR ACADEMY
- Enumeration Date
- October 1, 2012
- Last Update
- October 1, 2012
- Authorized Official
- MR. JERRY LEE MACON JR. K-12 EDUCATOR (BSW)
EXECUTIVE DIRECTOR
Phone: (317) 480-2949
Practice Location
- Address
- 3451 N KINGSLEY DR
BLOOMINGTON, IN 474041717 - Phone
- (317) 480-2949
- Fax
- (812) 369-4082
Mailing Address
- Address
- 3451 N KINGSLEY DR
BLOOMINGTON, IN 474041717 - Phone
- (317) 480-2949
- Fax
- (812) 369-4082
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Child Intellectual and/or Developmental Disabilities Respite Care Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | Respite Care | N/A | IN | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201091380 A | 05 | IN | N/A |
Frequently Asked Questions
What is MACON MENTOR ACADEMY's NPI number?
MACON MENTOR ACADEMY's NPI number is 1609127646.
Which doctor has NPI number 1609127646?
The doctor with NPI number 1609127646 is MACON MENTOR ACADEMY.
What is MACON MENTOR ACADEMY's practice address?
MACON MENTOR ACADEMY's practice address is 3451 N KINGSLEY DR, BLOOMINGTON, IN, 474041717.
Which doctor practices at 3451 N KINGSLEY DR, BLOOMINGTON, IN, 474041717?
MACON MENTOR ACADEMY practices at 3451 N KINGSLEY DR, BLOOMINGTON, IN, 474041717.
What is MACON MENTOR ACADEMY's phone number?
MACON MENTOR ACADEMY's phone number is (317) 480-2949.
Who is (317) 480-2949?
(317) 480-2949 is the phone number for MACON MENTOR ACADEMY.
What is MACON MENTOR ACADEMY's specialty?
MACON MENTOR ACADEMY's specialty is Child Intellectual and/or Developmental Disabilities Respite Care.
What type of doctor is MACON MENTOR ACADEMY?
MACON MENTOR ACADEMY is a Child Intellectual and/or Developmental Disabilities Respite Care.
Is MACON MENTOR ACADEMY a Respite Care, Intellectual and/or Developmental Disabilities, Child?
Yes, MACON MENTOR ACADEMY is a Respite Care, Intellectual and/or Developmental Disabilities, Child.
Is MACON MENTOR ACADEMY still practicing?
Yes, MACON MENTOR ACADEMY is currently practicing.
Is MACON MENTOR ACADEMY accepting new patients?
MACON MENTOR ACADEMY may be accepting new patients. Please call their office at (317) 480-2949 to inquire about availability.
Is NPI 1609127646 still active?
Yes, NPI 1609127646 is currently active.
Where does MACON MENTOR ACADEMY practice?
MACON MENTOR ACADEMY practices in BLOOMINGTON, IN.