State of Indiana, Auditor of State

NPI #1932225752 in Madison, Indiana

Provider Information

NPI Number
1932225752
Entity Type
Organization
Organization Name
State of Indiana, Auditor of State
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Mar 22, 2007
Last Updated
Feb 1, 2008

Practice Location

Address
711 GREEN RD
State
Indiana
ZIP Code
47250-2143
Phone
(812) 265-2611

Authorized Official

Name
DR. PEGGY S STEPHENS, MD
Title
SUPERINTENDANT AND MEDICAL DIRECTOR
Phone
(812) 265-2611

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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