NPI | 1801270202 |
---|---|
Doing Business As | HEALTH SOURCE OF NILES |
Entity Type | Organization |
Authorized Contact | KIMBERLY R STOWE Administrator 269-683-5433 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2015-07-15 |
Last Update Date | 2015-07-15 |