Organization
ORANGE CO REHAB & DEVELOPMENTAL SVC, INC
Active
Organization
ORANGE CO REHAB & DEVELOPMENTAL SVC, INC
Active
Other names
First Chance Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN SELF (EXECUTIVE DIRECTOR)
(812) 723-4486
Entity
Organization
Contact information
Practice address
986 W HOSPITAL RD, PAOLI, IN 47454-9668
(812) 723-4486
(812) 723-4487
Mailing address
986 W HOSPITAL RD, PO BOX 267, PAOLI, IN 47454-9668
(812) 723-4486
(812) 723-4487
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
71494
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107890
—
IN
05
—
200175140
—
IN
Enumeration date
12/05/2006
Last updated
07/17/2026
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