Voca Of Indiana LLC
Intermediate Care Facility, Intellectual Disabilities in North Vernon, IN. Organization (NPI-2).
NPI number1386762011
StatusActive
Last updated in NPPESNov 18, 2024
Details
- NPI
- 1386762011
- Entity type
- Organization (NPI-2)
- Legal business name
- Voca Of Indiana LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2007
- Certification date
- Nov 18, 2024
- Last updated
- Nov 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
Other names
- Country Squire (Other Name)
Practice location
153 White Oak WayNorth Vernon, IN 47265-8742
Phone 812-273-0523
Mailing address
805 N Whittington PkwyLouisville, KY 40222-7101
Phone 800-866-0860
Authorized official
Denisha Connor
Provider Enrollment
5026307421
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