# VIBRA REHABILITATION HOSPITAL OF SOUTHERN INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southern Indiana Rehabilitation Hospital-Skilled Nursing Facility
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427548270
- **Authorized official:** MR. CLINT T. FEGAN (SEC/TREAS)
- **Authorized official phone:** (717) 591-5700

## Contact information

- **Practice address:** 3104 BLACKISTON BOULEVARD, NEW ALBANY, IN 47150-9579
- **Practice address phone:** (812) 941-8300
- **Mailing address:** 5 EAST RIVER PARK PLACE E \#460, FRESNO, CA 93720-1560
- **Mailing address phone:** (559) 892-2500
- **Mailing address fax:** (559) 892-2442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IN | Yes |

## Other

- **Enumeration date:** 05/17/2018
- **Last updated:** 12/17/2018