| NPI | 1255528386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L. OKODUWA Owner 219-902-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: IN 27046267A) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2007-10-02 |