Nra-daleville, Indiana, Llc

NPI 1467511725 - Clinic/Center - 261QE0700X

NPI Details
NPI 1467511725
Enumeration Date 12/06/2006
Last Updated 03/31/2016
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name THOMAS L. THOMAS
Position AUTHORIZED OFFICIAL
Phone (765) 378-1735
Fax (765) 378-1744
Practice Location
14520 W DAVIS DR
DALEVILLE IN, 47334-9700, US
Phone (765) 378-1735
Fax (765) 378-1744
Business Location
424 CHURCH ST
SUITE 1900
NASHVILLE TN, 37219-2301, US
Phone (615) 777-8201
Fax
Toxanomy
Taxonomy Code 261QE0700X
License State Illinois
License Number NOT APPLICABLE
Remove 1467511725 NPI Number
 

According to our database, Nra-daleville, Indiana, Llc NPI is 1467511725, taxonomy code is 261QE0700X and license number is NOT APPLICABLE, license state is located at Illinois. Nra-daleville, Indiana, Llc physically located at 14520 W Davis Dr, Daleville IN, 47334-9700. NPI Number 1033115704 has the healthcare provider type.

1467511725 NPI number is provided on an as is basis without warranty of any kind. 1467511725 is maintained by the National Plan & Provider Enumeration System. The contents of Nra-daleville, Indiana, Llc are for informational purposes only.