NPI 1205293701

Southern Indiana Treatment Center

Organisation Nursing Care Agency Charlestown, IN

Practice location

Address: 6509 Charlestown Pike, Charlestown, IN 47111-9622
Phone: (812) 256-4686
Fax: (812) 256-3949

Authorised official

Name: Debra Lynn Fife
Title: Lpn
Phone: (812) 256-4686

Registered specialties

Nursing Care Agency Primary

Agencies Taxonomy 251J00000X Licence 27025026A (IN)

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Registry record

NPI: 1205293701
Entity type: Organization
NPI issued: 28 Jan 2016
Record last updated: 28 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.