| Paddock View Residential Center, Inc. | |
|
1700 E Bradford Pike Marion IN 46952-8643 | |
| (765) 664-7740 | |
| (765) 664-7743 |
| Full Name | Paddock View Residential Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1700 E Bradford Pike, Marion, Indiana |
| Authorized Official Name and Position | Carol W. Boyle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7656647740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paddock View Residential Center, Inc. 1700 E Bradford Pike Marion IN 46952-8643 Ph: (765) 664-7740 | Paddock View Residential Center, Inc. 1700 E Bradford Pike Marion IN 46952-8643 Ph: (765) 664-7740 |
| NPI Number | 1396082863 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396082863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 20041950A (Indiana) | Primary |
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