Organization
S.O.A.R., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUDI MICHELE GILLEY L.P.N., CADAC II (DIRECTOR)
(812) 378-2660
Entity
Organization
Contact information
Practice address
1601 ORINOCO AVE, COLUMBUS, IN 47201-5364
(812) 378-2660
(812) 378-2696
Mailing address
1601 ORINOCO AVE, COLUMBUS, IN 47201-5364
(812) 378-2660
(812) 378-2696
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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