National Provider Identifier Database

NORMAL LIFE OF INDIANA
Intermediate Care Facility, Mentally Retarded

(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.


Contact Information

NORMAL LIFE OF INDIANA
420 FRANKLIN
TROY, IN47588
Phone: 812-433-3535
Fax:
Website:
Specialty Taxonomy Code
* Intermediate Care Facility, Mentally Retarded 315P00000X

* Indicates primary specialty

NPI Profile & details for NORMAL LIFE OF INDIANA

NPI Number 1023137536
Legal business name
LBN
NORMAL LIFE OF INDIANA
Authorized official TIMOTHY WHOBREY - (PROVIDER ENROLLMENT)
Entity Organization
Organization subpart No
Enumeration date 03/28/2007
Last updated 02/11/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • IN Medicaid: 100234000A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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