Organization
BELL TRACE HEALTH AND LIVING CENTER
Active
Parent organization
CARDON & ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARDON & ASSOCIATES
Authorized official
MR. STEPHEN MOORE M.D. (OWNER/CEO)
(812) 332-2265
Entity
Organization
Contact information
Practice address
725 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4408
(812) 323-2858
(812) 323-2854
Mailing address
725 N BELL TRACE CIR, BLOOMINGTON, IN 47408-4408
(812) 323-2858
(812) 323-2854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003924A
IN
314000000X
Skilled Nursing Facility
05003924A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100581
COMMON ID PIN # FOR ANTHEM
IN
Enumeration date
09/08/2008
Last updated
09/08/2008
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