| NPI | 1609060557 |
|---|---|
| Other Name | ST. VINCENT WOMEN'S HEALTH BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D. CHITTENDEN President 317-582-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 060039321) |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2008-09-03 |