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Normal Life Of Indiana
Intellectual Disabilities Intermediate Care Facility in Boonville, Indiana
NPI 1780702662

Normal Life Of Indiana is a Intellectual Disabilities Intermediate Care Facility based in Louisville, IN. Normal Life Of Indiana practices in Boonville, IN. The NPI Number for Normal Life Of Indiana is 1780702662 and holds a License No. (Indiana).

The current practice location address for Normal Life Of Indiana is 415 S 2Nd St, Boonville, IN and can be reached out via phone at 812-433-3535.

Location: 415 S 2Nd St, Boonville, IN, 40223-3808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780702662
Provider Name
Normal Life Of Indiana
Credential
Provider Entity Type
Organization
Address
415 S 2Nd St, Boonville, IN, 40223-3808
Phone Number
812-433-3535
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100234140A 05 IN
institution
Provider Business Practice Location Address Details
Address
415 S 2Nd St
City
Boonville
State
Indiana
Zip
47601-1717
Phone Number
812-433-3535
Fax Number
person
Provider Business Mailing Address Details
Address
415 S 2Nd St
City
Boonville
State
Indiana
Zip
47601-1717
Phone Number
812-433-3535
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(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.
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