| NPI | 1437423472 |
|---|---|
| Doing Business As | BAXTER HEALTH REPPELL DIABETES CLINIC |
| Doing Business As | BAXTER HEALTH FAIRLAMB SENIOR CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEBRA HENRY CFO 870-508-1003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2023-07-17 |