NPI 1033363668

The Mary Lane Center, LLC

Organisation Developmentally Disabled Services Day Training Agency Gary, IN

Practice location

Address: 4859 Georgia St, Gary, IN 46409-2623
Phone: (219) 980-2440
Fax: (219) 980-3451

Authorised official

Name: Jamanil Jones
Title: Executive Director
Phone: (219) 980-2440

Registered specialties

Developmentally Disabled Services Day Training Agency Primary

Agencies Taxonomy 251C00000X

Other Day Training, Developmentally Disabled Services providers in Indiana →

Registry record

NPI: 1033363668
Entity type: Organization
NPI issued: 10 Nov 2008
Record last updated: 10 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.