NPI | 1215467659 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE K MCINTOSH SZABO Owner 574-612-4556 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: IN 309003032A) |
Additional Taxonomies | 251S00000X (Licence: IN 87000369A) |
Enumeration Date | 2017-06-18 |
Last Update Date | 2017-07-09 |