| 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 |