| NPI | 1699247429 |
|---|---|
| Doing Business As | MEDICAL HEALTH & WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | TIKIRI RATNAYAKE Sole Member 219-462-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2023-03-07 |