Healthcare Provider Details
I. General information
NPI: 1821183757
Provider Name (Legal Business Name): NORTON-KING'S DAUGHTERS' HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/04/2006
Last Update Date: 10/24/2022
Certification Date: 10/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
722 W MAIN ST
MADISON IN
47250
US
IV. Provider business mailing address
PO BOX 189
MADISON IN
47250
US
V. Phone/Fax
- Phone: 812-273-5437
- Fax: 812-265-0570
- Phone: 812-265-0199
- Fax: 812-265-0570
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CAROL
DOZIER
Title or Position: CEO
Credential:
Phone: 812-801-0105