Organization
BRENTWOOD MEADOWS, LLC
Active
Parent organization
BRENTWOOD MEADOWS, LLC
Other names
Brentwood Meadows
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRENTWOOD MEADOWS, LLC
Authorized official
MS. DONNA SALEE WEST RN (DIRECTOR OF LICENSE AND REGULATION)
(812) 598-8989
Entity
Organization
Contact information
Practice address
4488 ROSLIN RD, NEWBURGH, IN 47630-8590
(812) 858-7200
Mailing address
4488 ROSLIN RD, NEWBURGH, IN 47630-8590
(812) 858-7200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01043877A
IN
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
71003322A
IN
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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