The Mary Lane Center, Llc

LBN: The Mary Lane Center, Llc
The Mary Lane Center, Llc is an health care organization with primary practice located at 4859 Georgia St , Gary IN 46409-2623. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. The Mary Lane Center, Llc can be contacted via phone (219) 980-2440, or through Jones, Jamanil via phone (219) 980-2440.

Contact Information

Primary practice address
4859 Georgia St Gary IN 46409-2623
Phone: (219) 980-2440
Fax: (219) 980-3451
Website:
Map and Directions
Authorized official contact:
Name: Jones, Jamanil
Phone: (219) 980-2440

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1033363668
LBN Legal business name The Mary Lane Center, Llc
DBA Doing business as
Authorized official Jones, Jamanil
Entity Organization
Organization subpart 1 No
Enumeration date Nov 10th, 2008
Last updated Nov 10th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033363668 NPPES
Indiana MEDICAID 200913570A

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