Provider Demographics
NPI:1003185380
Name:ORANGE CO REHAB & DEVELOPMENTAL SVCS
Entity Type:Organization
Organization Name:ORANGE CO REHAB & DEVELOPMENTAL SVCS
Other - Org Name:FIRST CHANCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LOUISE
Authorized Official - Middle Name:
Authorized Official - Last Name:O'CONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-723-4486
Mailing Address - Street 1:986 W HOSPITAL RD
Mailing Address - Street 2:
Mailing Address - City:PAOLI
Mailing Address - State:IN
Mailing Address - Zip Code:47454-9668
Mailing Address - Country:US
Mailing Address - Phone:812-723-4486
Mailing Address - Fax:
Practice Address - Street 1:986 W HOSPITAL RD
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:IN
Practice Address - Zip Code:47454-9668
Practice Address - Country:US
Practice Address - Phone:812-723-4486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services