| NPI | 1982103511 |
|---|---|
| Doing Business As | PARKVIEW WABASH RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JEANNE WICKENS CFO 260-266-9313 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2018-02-09 |