| NPI | 1891274882 |
|---|---|
| Other Name | WOW FACTOR HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | SANDRA R MANNA Registered Nurse Advance Practice 219-381-7371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003896A) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: IN 71003896A) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: IN 71003896A) | |
| 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: IN 71003896A) | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2023-01-13 |