STACEY PHIPPS

SOUTH BEND, IN
NPI1265716146
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: IN  32001430A)
Enumeration Date2011-10-10
Last Update Date2011-10-10
Business Address
-- STACEY PHIPPS
1950 RIDGEDALE RD
SOUTH BEND, IN 46614-2243
Phone number: 574-291-6722
Mailing Address
-- STACEY PHIPPS
2612 SOUTHRIDGE DR
SOUTH BEND, IN 46614-1536
Phone number:
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