OrganizationActive
Macon Mentor Academy
NPI 1609127646 · Child Intellectual and/or Developmental Disabilities Respite Care · Bloomington, IN
Provider details
- NPI number
- 1609127646
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Jerry Macon, Executive Director(317) 480-2949
Specialties & taxonomies
Respite Care Facility
Practice location
3451 N Kingsley Dr
Bloomington, IN 47404-1717
Phone: (317) 480-2949
Fax: (812) 369-4082
Approximate (ZIP-level) locationGet directions
Mailing address
3451 N Kingsley Dr
Bloomington, IN 47404-1717
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2012-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.