Organization
NORMAL LIFE OF INDIANA
Active
Other names
TEHA VILLA
Organization subpart
No
Provider details
NPI number
Authorized official
DEENA OMBRES (PRIVACY OFFICER)
(502) 394-2387
Entity
Organization
Contact information
Practice address
107 VILLA COURT #A, BRAZIL, IN 47834
(812) 433-0474
Mailing address
10140 LINN STATION RD, LOUISVILLE, KY 40223-3813
(800) 866-0860
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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