Organization
SOUTHERN INDIANA RESOURCE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY LUTZ (CHILDREN'S SERVICES)
(812) 897-5295
Entity
Organization
Contact information
Practice address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
(812) 897-4840
Mailing address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
22004466A
IN
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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