| NPI | 1215793112 |
|---|---|
| Doing Business As | ISAIAH HOUSE COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LUCILLE KOEHL VP 317-755-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2024-02-27 |
| Last Update Date | 2024-10-14 |