Healthcare Provider Details

I. General information

NPI: 1700820149
Provider Name (Legal Business Name): NORTON - KINGS DAUGHTERS HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 MICHIGAN RD
MADISON IN
47250-1832
US

IV. Provider business mailing address

PO BOX 3285
EVANSVILLE IN
47732-3285
US

V. Phone/Fax

Practice location:
  • Phone: 812-801-0671
  • Fax: 812-273-6797
Mailing address:
  • Phone: 812-801-0715
  • Fax: 812-265-6603

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateIN

VIII. Authorized Official

Name: CAROL M DOZIER
Title or Position: CEO
Credential:
Phone: 812-801-0105