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NPI Code Detail

MEDICARE: BROWN COUNTY HEALTH & LIVING COMMUNITY

MEDICARE: BROWN COUNTY HEALTH & LIVING COMMUNITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility31000374AIN
2225X00000XOccupational Therapist31000374AIN

General Provider Information

NPI Number : 1184872772
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROWN COUNTY HEALTH & LIVING COMMUNITY
Provider Business Mailing Address
First Line : 55 WILLOW ST
Second Line :
City : NASHVILLE
State : IN
Zip : 47448-7013
Country : US
Telephone Number : 812-988-6666
Fax Number : 812-988-6668
Provider Business Practice Location Address
First Line : 55 WILLOW ST
Second Line :
City : NASHVILLE
State : IN
Zip : 47448-7013
Country : US
Telephone Number : 812-988-6666
Fax Number : 812-988-6668
Authorized Official
Title or Position : OWNER/CEO
Name : MR. STEPHEN MOORE
Credential : M.D.
Telephone Number : 812-332-2265
Provider Enumeration Date : 09/08/2008
Last Update Date : 09/08/2008

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Directions to “BROWN COUNTY HEALTH & LIVING COMMUNITY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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