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Organization

NORMAL LIFE OF INDIANA

Active
Other names
EVANS PFEIFFER
Organization subpart
No

Provider details

NPI number
Authorized official
DENISHA CONNOR (PROVIDER ENROLLMENT)
(502) 630-7421
Entity
Organization

Contact information

Practice address
600 PFEIFFER RD, EVANSVILLE, IN 47711-3154
(812) 433-3535
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(800) 866-0860

Taxonomy

Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100234350A
IN
Enumeration date
03/28/2007
Last updated
11/26/2024
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