RENETTA STALLING KNIGHTEN

GARY, IN
NPI1225853153
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QA0600X Clinic/Center, Adult Day Care
Enumeration Date2024-11-16
Last Update Date2024-11-16
Business Address
RENETTA STALLING KNIGHTEN
3300 W 15TH AVE
GARY, IN 46404-1963
Phone number: 219-951-0531
Mailing Address
RENETTA STALLING KNIGHTEN
2207 ROOSEVELT PL
GARY, IN 46404-3335
Phone number: 219-484-5523