| NPI | 1861989998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CHIMUTU Administrator 574-387-4117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2018-04-14 |
| Last Update Date | 2018-04-14 |