# PROVIDENCE SELF SUFFICIENCY MINISTRIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740330364
- **Authorized official:** JANE ANNE BALES (ACCOUNTANT)
- **Authorized official phone:** (812) 951-1878

## Contact information

- **Practice address:** 8037 UNRUH DR, GEORGETOWN, IN 47122-8759
- **Practice address phone:** (812) 951-1878
- **Mailing address:** 8037 UNRUH DR, GEORGETOWN, IN 47122-8759
- **Mailing address phone:** (812) 951-1878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 347C00000X | Private Vehicle | — | NULL | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 08/22/2020