SHARLYN BAGWAN

WEST LAFAYETTE BRA, IN
NPI1598973034
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: IN  05008856A)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
Miss SHARLYN BAGWAN P.T
3401 SOLDIERS HOME RD
WEST LAFAYETTE BRA, IN 47906-1222
Phone number: 765-463-1541
Mailing Address
Miss SHARLYN BAGWAN P.T
3507 CORTEZ DRIVE APT.33
WEST LAFAYETTE, IN 47906
Phone number: 765-409-5184