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1346630118
RENITA WARE
GARY, IN
NPI
1346630118
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
Enumeration Date
2015-01-30
Last Update Date
2015-01-30
Business Address
-- RENITA WARE
1003 COLFAX ST
GARY, IN 46406-1903
Phone number: 219-885-4264
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Mailing Address
-- RENITA WARE
1003 COLFAX ST
GARY, IN 46406-1903
Phone number: 219-885-4264
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