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CHRISTOLE, INC

Intermediate Care Facility, Mentally Retarded

Bloomington, Indiana

Provider NPI: 1275627036

Organization Information:
Organization Name:  CHRISTOLE, INC


Practice Location:
1701 WINSLOW DRIVE  BLOOMINGTON, IN 47404 US
Tel: 812-336-4711  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
IN2510S0011DE05

Other Provider Identifiers:

IssuerNumberStateType
2510S0011DE05IN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS IN - Page 1



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