Healthcare Provider Details

I. General information

NPI: 1497953830
Provider Name (Legal Business Name): NORTON-KING'S DAUGHTERS' HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2007
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

443 E CLIFTY DR
MADISON IN
47250-1670
US

IV. Provider business mailing address

PO BOX 189
MADISON IN
47250-0189
US

V. Phone/Fax

Practice location:
  • Phone: 812-265-0161
  • Fax:
Mailing address:
  • Phone: 812-265-0161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CAROL DOZIER
Title or Position: CEO
Credential:
Phone: 812-265-0199