NPI | 1164721254 |
---|---|
Other Name | TEMPLE SMOOTHIES AND CARE |
Entity Type | Organization |
Authorized Contact | STEPHANIE ROZELL JORDAN President 219-331-3046 |
Organization Subpart ? | No |
Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: IN 28146885A) |
Enumeration Date | 2011-03-15 |
Last Update Date | 2011-03-15 |