| NPI | 1043142193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENTINE NIYONIZEYE PRAISE Administrator 269-716-0994 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |