| NPI | 1922178516 |
|---|---|
| Doing Business As | SHADELAND FAMILY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JEFFERY KIRKHAM CFO 317-355-4887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2011-02-02 |