STATE OF INDIANA AUDITOR OF STATE is an intermediate care facility mentally retarded in Evansville, IN. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. STATE OF INDIANA AUDITOR OF STATE NPI is 1326169871. The provider is registered as an organization entity type.
The provider Is Doing Business As Evansville State Hospital.
The provider's business location address is:
3400 LINCOLN AVENUE
EVANSVILLE, IN
ZIP 47714
Phone: (812) 469-6800
Fax: (812) 469-6847
The provider's authorized official is Cathe Fulcher .
The authorized official title is Superintendent and has the following contact phone number (812) 469-6800.
The CLIA number assigned to this NPI record is 15D0035620 - hospital with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/30/2010.