| NPI | 1164614723 |
|---|---|
| Other Name | JENNINGS FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | D. BRUCE HAGA Vice President 317-583-3087 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-09-20 |