Normal Life of Indiana

NPI #1962520627 in Brazil, Indiana

Provider Information

NPI Number: 1962520627
Entity Type: Organization
Organization Name: Normal Life of Indiana
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Mar 27, 2007
Last Updated: Jul 18, 2008

Practice Location

Address: 605 W CRAIG AVE
City: Brazil
State: Indiana
ZIP Code: 47834-7403
Phone: (812) 446-7073

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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