Organization
INDIANA MASONIC HOME, INC.
Active
Parent organization
INDIANA MASONIC HOME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA MASONIC HOME, INC.
Authorized official
MS. AMY BARKER RN (ADMINISTRATOR)
(812) 314-8247
Entity
Organization
Contact information
Practice address
690 S STATE ST, FRANKLIN, IN 46131-2553
(812) 314-8247
Mailing address
690 S STATE ST, FRANKLIN, IN 46131-2553
(812) 314-8247
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
15-013621-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201300160A
—
IN
Enumeration date
02/17/2015
Last updated
07/21/2022
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