Organization
THE HOOSIER CHRISTIAN VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MCGHEE (CHIEF FIANCIAL OFFICER)
(314) 587-7903
Entity
Organization
Contact information
Practice address
621 S SUGAR ST, BROWNSTOWN, IN 47220-2066
(812) 358-2504
(812) 358-2510
Mailing address
621 S SUGAR ST, BROWNSTOWN, IN 47220-2066
(812) 358-2504
(812) 358-2510
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
06-000277-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290530
—
IN
Enumeration date
01/21/2011
Last updated
12/12/2013
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