Organization · Type 2 NPI

State of Indiana Auditor of State

Intellectual Disabilities Intermediate Care Facility · Evansville, IN

NPI number 1326169871 Active

Practice location

3400 Lincoln Avenue
Evansville, IN 47714

Call (812) 469-6800 Map

Fax (812) 469-6847

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

2 other providers at this address

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About NPI 1326169871

State of Indiana Auditor of State's National Provider Identifier is 1326169871, issued on Apr 3, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Evansville, IN. The record was last updated on Aug 30, 2010.