| NPI | 1093963688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN MOORE Owner/CEO 812-332-2265 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IN 22004493A) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 22004493A) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |