Normal Life of Indiana

NPI #1023137502 in Brazil, Indiana

Provider Information

NPI Number
1023137502
Entity Type
Organization
Organization Name
Normal Life of Indiana
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 28, 2007
Last Updated
Jul 11, 2008

Practice Location

Address
411 N PINE ST
City
Brazil
State
Indiana
ZIP Code
47834-1563
Phone
(812) 433-5057

Authorized Official

Name
DEENA OMBRES
Title
PRIVACY OFFICER
Phone
(502) 394-2387

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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