| NPI | 1518256684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE JEAN HEDGES Owner 219-742-3466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-03-29 |