| NPI | 1366807042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA RAE DEANE RILEY President 269-271-5208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2019-05-23 |