Organization
KNOX COUNTY ASSOCIATION FOR RETARDED CITIZENS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH KOTTER (VP BUSINESS FINANCE)
(812) 886-4312
Entity
Organization
Contact information
Practice address
2900 E ARC AVE, VINCENNES, IN 47591-6888
(812) 886-4312
(812) 886-4844
Mailing address
2525 N 6TH ST, VINCENNES, IN 47591-2405
(812) 886-4312
(812) 886-4844
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
22003141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100229180A
—
IN
05
—
100233980A
—
IN
05
—
100243240A
—
IN
05
—
100249470A
—
IN
05
—
200333060A
—
IN
05
—
200333130A
—
IN
05
—
200363140A
—
IN
05
—
200433130A
—
IN
05
—
200714610A
—
IN
Enumeration date
06/04/2014
Last updated
06/04/2014
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