Provider Demographics
NPI:1770608259
Name:EVANSVILLE ASSOCIATION FOR THE BLIND, INC.
Entity type:Organization
Organization Name:EVANSVILLE ASSOCIATION FOR THE BLIND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:HORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-422-1181
Mailing Address - Street 1:500 N 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47710-1540
Mailing Address - Country:US
Mailing Address - Phone:812-422-1181
Mailing Address - Fax:812-424-3154
Practice Address - Street 1:500 N 2ND AVE
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47710-1540
Practice Address - Country:US
Practice Address - Phone:812-422-1181
Practice Address - Fax:812-424-3154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services