=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699817882
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HORACE MANN EDUCATIONAL ASSOC., INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2007
-----------------------------------------------------
Last Update Date | 11/30/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 652 E WASHINGTON ST
-----------------------------------------------------
City | N ATTLEBORO
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02760-2488
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-298-1100
-----------------------------------------------------
Fax | 508-528-3614
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 FORGE PKWY
-----------------------------------------------------
City | FRANKLIN
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02038-3157
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-298-1100
-----------------------------------------------------
Fax | 508-528-3614
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT-CFO
-----------------------------------------------------
Name | MR. JOHN M MORAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 508-298-1110
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251C00000X
-----------------------------------------------------
Taxonomy Name | Developmentally Disabled Services Day Training Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------