Organization
STONE BELT ARC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE GREEN (CEO)
(812) 332-2168
Entity
Organization
Contact information
Practice address
1835 S MAXWELL ST, BLOOMINGTON, IN 47401-6706
(812) 332-7247
Mailing address
2815 E 10TH ST, BLOOMINGTON, IN 47408-2601
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2632S0010JN06
IN
Other
Enumeration date
12/12/2006
Last updated
08/22/2020
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