NPI | 1457952996 |
---|---|
Doing Business As | DEACONESS CLINIC AT WORK - REO |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X |
Enumeration Date | 2020-11-02 |
Last Update Date | 2020-11-02 |