# INDIANA MASONIC HOME, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INDIANA MASONIC HOME, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992196638
- **Legal business name:** INDIANA MASONIC HOME, INC.
- **Authorized official:** MS. AMY BARKER RN (ADMINISTRATOR)
- **Authorized official phone:** (812) 314-8247

## Contact information

- **Practice address:** 690 S STATE ST, FRANKLIN, IN 46131-2553
- **Practice address phone:** (812) 314-8247
- **Mailing address:** 690 S STATE ST, FRANKLIN, IN 46131-2553
- **Mailing address phone:** (812) 314-8247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 15-013621-1 | IN | Yes |

## Other

- **Enumeration date:** 02/17/2015
- **Last updated:** 07/21/2022