Organization
NORMAL LIFE OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEENA OMBRES (PRIVACY OFFICE)
(502) 394-2387
Entity
Organization
Contact information
Practice address
201 N BALDWIN AVE, MARION, IN 46952-3533
(765) 668-0972
Mailing address
9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/15/2007
Last updated
02/19/2008
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