Organization
VILLAGES OF INDIANA, INC
Active
Organization
VILLAGES OF INDIANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY J DAVIS (COMPIANCE MANAGER)
(812) 332-1245
Entity
Organization
Contact information
Practice address
612 E BOULEVARD, KOKOMO, IN 46902-2271
(765) 455-8545
(765) 455-8552
Mailing address
2405 N SMITH PIKE, BLOOMINGTON, IN 47404-1363
(812) 332-1245
(812) 333-4717
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
50305 49WW
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200888990 A
—
IN
Enumeration date
04/24/2008
Last updated
04/24/2008
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