Organization
CHRISTOLE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT B. CLEMONS (CEO)
(812) 988-1257
Entity
Organization
Contact information
Practice address
2727 N DUNN, BLOOMINGTON, IN 47408
(812) 323-9973
(812) 323-9962
Mailing address
200 HAWTHORNE, NASHVILLE, IN 47448
(812) 988-1257
(812) 988-1736
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2510S0010JN06
IN
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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