Organization
LYNNE ECKERLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNNE ECKERLE (INTERIM AGENCY DIRECTOR)
(812) 314-2982
Entity
Organization
Contact information
Practice address
1531 13TH ST., STE G-900, COLUMBUS, IN 47201-1302
(812) 314-2982
(812) 373-3620
Mailing address
1531 13TH ST., STE G-900, COLUMBUS, IN 47201-1302
(812) 314-2982
(812) 373-3620
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100264620 A
—
IN
05
—
200343700 A
—
IN
Enumeration date
05/02/2006
Last updated
12/29/2010
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