EBONY WEST

SOUTH BEND, IN
NPI1164179461
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
(Licence: IN  21-015359-1)
Enumeration Date2022-03-07
Last Update Date2022-03-07
Business Address
EBONY WEST
5122 CEDARWOOD LN
SOUTH BEND, IN 46619-1607
Phone number: 574-904-4212
Mailing Address
EBONY WEST
5122 CEDARWOOD LN
SOUTH BEND, IN 46619-1607
Phone number: 574-904-4212
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