NPI | 1245412998 |
---|---|
Doing Business As | BACK IN SHAPE CHIROPRACTIC AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | KEITH B POTETTI Owner 815-398-3334 |
Organization Subpart ? | No |
Primary Taxonomy | 385H00000X Respite Care (Licence: IL 038-005879) |
Enumeration Date | 2007-12-04 |
Last Update Date | 2007-12-04 |