Wabash Valley Alliance, Inc.

NPI 1689629990 - Clinic/Center - 261QM0801X

NPI Details
NPI 1689629990
Enumeration Date 05/24/2006
Last Updated 04/13/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name RICK L RICK
Position CEO
Phone (765) 446-6535
Fax (765) 446-6536
Practice Location
415 N 26TH STREET
SUITE 201
LAFAYETTE IN, 47904-2856, US
Phone (765) 446-6535
Fax (765) 446-6536
Business Location
415 N 26TH STREET
SUITE 201
LAFAYETTE IN, 47904-2856, US
Phone (765) 446-6535
Fax (765) 446-6536
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Wabash Valley Alliance, Inc. NPI is 1689629990, taxonomy code is 261QM0801X Wabash Valley Alliance, Inc. physically located at 415 N 26th Street, Lafayette IN, 47904-2856. NPI Number 1033115704 has the healthcare provider type.

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1689629990 NPI number is provided on an as is basis without warranty of any kind. 1689629990 is maintained by the National Plan & Provider Enumeration System. The contents of Wabash Valley Alliance, Inc. are for informational purposes only.