Organization
QUALITY CORRECTIONAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORA SORRELL (DIRECTOR)
(765) 749-5290
Entity
Organization
Contact information
Practice address
12900 N MERIDIAN ST STE 140, CARMEL, IN 46032-5401
(765) 749-5290
Mailing address
400 W AIR PARK DR, MUNCIE, IN 47303-1886
(765) 749-5290
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300097541
—
IN
Enumeration date
01/21/2016
Last updated
10/25/2024
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