| NPI | 1891165536 |
|---|---|
| Doing Business As | PROVIDENCE ANDERSON |
| Entity Type | Organization |
| Authorized Contact | DAVID BIXLER CEO 812-254-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 15-000005-1) |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2021-01-02 |