Organization
BELL TRACE HEALTH & LIVING CENTER
Active
Parent organization
CARDON & ASSOCIATES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDON & ASSOCIATES, INC.
Authorized official
STEPHEN MOORE M.D. (OWNER/CEO)
(812) 332-2265
Entity
Organization
Contact information
Practice address
725 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4408
(812) 323-2858
Mailing address
725 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4408
(812) 323-2858
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
31000192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110180
ANTHEM
IN
01
—
310312
COMMON ANTHEM PIN
IN
Enumeration date
09/03/2008
Last updated
09/03/2008
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