| NPI | 1124268131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHUKWUEMEKA KELECHI CHIDEBELU-EZE C.E.O. 317-641-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: IN 08002356a) |
| 174200000X Meals | |
| 177F00000X Lodging | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X | |
| 261Q00000X Clinic/Center | |
| 261QR0208X Clinic/Center, Radiology, Mobile | |
| 261QR1100X Clinic/Center, Research | |
| 261QR1300X Clinic/Center, Rural Health | |
| 291U00000X Clinical Medical Laboratory | |
| 335G00000X Medical Foods Supplier | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2021-07-14 |