| NPI | 1902163322 |
|---|---|
| Doing Business As | THREE RIVERS HEALTH SLEEP CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEFFERY COSTELLO CFO 574-647-3460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 750020) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2022-06-23 |