| Providence Self Sufficiency Ministries | |
|
8037 Unruh Dr Georgetown IN 47122-8759 | |
| (812) 951-1878 | |
| (812) 951-0398 |
| Full Name | Providence Self Sufficiency Ministries |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8037 Unruh Dr, Georgetown, Indiana |
| Authorized Official Name and Position | Joel Henderson (PRESIDENT/CEO) |
| Authorized Official Contact | 8129511878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Self Sufficiency Ministries 8037 Unruh Dr Georgetown IN 47122-8759 Ph: (812) 951-1878 | Providence Self Sufficiency Ministries 8037 Unruh Dr Georgetown IN 47122-8759 Ph: (812) 951-1878 |
| NPI Number | 1477603538 |
|---|---|
| Provider Enumeration Date | 01/11/2007 |
| Last Update Date | 02/27/2023 |
| Certification Date | 02/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477603538 | NPI | - | NPPES |
| 200358070 | Medicaid | IN |
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