Organization
RES-CARE, INC
Active
Other names
Park Villa Long-Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
221 N WASHINGTON ST, MARION, IN 46952-2707
(765) 664-4573
(765) 671-6881
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291070
—
IN
Enumeration date
08/30/2006
Last updated
10/06/2010
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