Organization
FOUR RIVERS RESOUCE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN W SACKSTEDER (CEO)
(812) 841-2231
Entity
Organization
Contact information
Practice address
RT 1 BOX 295C, LINTON, IN 47441-0249
(812) 847-2231
(812) 847-8836
Mailing address
PO BOX 249, LINTON, IN 47441-0249
(812) 847-2231
(812) 847-8836
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22000372
IN
Other
Enumeration date
11/02/2006
Last updated
08/22/2020
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