| NPI | 1053455790 |
|---|---|
| Doing Business As | FORT WAYNE WOMEN'S HEALTH ORGANIZATION |
| Entity Type | Organization |
| Authorized Contact | ROSA C TILEY Insurance COO Rdinator 919-783-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 060111354) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-06-20 |