NORMAL LIFE OF INDIANA NPI 1508985086

NPI Information

NORMAL LIFE OF INDIANA is an intermediate care facility mentally retarded in Terre Haute, IN. The provider is (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. NORMAL LIFE OF INDIANA NPI is 1508985086. The provider is registered as an organization entity type.
The provider Other Name Is Teha North 17th.

The provider's business location address is:

4475 N 17TH ST
TERRE HAUTE, IN
ZIP 47805-417
Phone: (812) 466-4886

The provider's authorized official is Deena Ombres .
The authorized official title is Privacy Officer and has the following contact phone number (502) 397-2387.

The enumeration date for this NPI number is 3/28/2007 and was last updated on 8/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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