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 |