Organization
SOUTHERN INDIANA RESOURCE SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E WANINGER (CFO)
(812) 897-4840
Entity
Organization
Contact information
Practice address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
(812) 897-4840
(812) 897-0123
Mailing address
1579 S FOLSOMVILLE RD, BOONVILLE, IN 47601-9465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115480
DEPT OF HEALTH CSHCS
IN
Enumeration date
01/02/2007
Last updated
09/11/2025
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