CHRISTOLE
Intermediate Care Facility, Mentally Retarded
Ellettsville, Indiana
Provider NPI: 1194811802
Organization Information:Organization Name: CHRISTOLE
Practice Location:
6630 RHINESTONE DRIVE ELLETTSVILLE, IN 47492 US
Tel: 812-876-6682 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
6630 RHINESTONE DRIVE ELLETTSVILLE, IN 47492 US
Tel: 812-876-6682 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | IN | 2510S0013DE06 |