NPI | 1710481148 |
---|---|
Other Name | JOCELYN BAILEY |
Entity Type | Organization |
Authorized Contact | JOCELYN BAILEY CEO 574-210-8098 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: IN 39002480A) |
Enumeration Date | 2018-03-21 |
Last Update Date | 2018-03-21 |