Provider Demographics
NPI:1003113093
Name:SOUTHERN INDIANA HEALTH CARE INC
Entity type:Organization
Organization Name:SOUTHERN INDIANA HEALTH CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WATERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, HFA
Authorized Official - Phone:812-774-9299
Mailing Address - Street 1:5011 WASHINGTON AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-4865
Mailing Address - Country:US
Mailing Address - Phone:812-774-9299
Mailing Address - Fax:812-774-9272
Practice Address - Street 1:5011 WASHINGTON AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-4865
Practice Address - Country:US
Practice Address - Phone:812-774-9299
Practice Address - Fax:812-774-9272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health