NPI | 1649649609 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA MINNICK Office Manager 812-828-7637 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: IN 35001637A) |
Additional Taxonomies | 251S00000X (Licence: IN 39001655A) |
Enumeration Date | 2015-09-21 |
Last Update Date | 2015-09-21 |