Heather Carroll COTA

NPI 1346649688 - Assisted Living Facility - 3104A0625X

NPI Details
NPI 1346649688
Gender Female
Enumeration Date 08/21/2014
Last Updated 08/21/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
430 E CLEVELAND RD
GRANGER IN, 46530-5624, US
Phone (574) 271-3305
Fax
Business Location
19839 DICE ST
SOUTH BEND IN, 46614-5513, US
Phone (574) 217-2213
Fax
Toxanomy
Taxonomy Code 3104A0625X
License State
License Number
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According to our database, Heather Carroll COTA NPI is 1346649688, taxonomy code is 3104A0625X Heather Carroll COTA physically located at 430 E Cleveland Rd, Granger IN, 46530-5624. NPI Number Heather Carroll COTA has the Individual type.

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1346649688 NPI number is provided on an as is basis without warranty of any kind. 1346649688 is maintained by the National Plan & Provider Enumeration System. The contents of Heather Carroll COTA are for informational purposes only.