Plymouth Nh, Llc

NPI Provider: 1467457044
Contact Name: Mando William
Position: CFO
Phone: (813) 635-9500

Plymouth Nh, Llc Information:

Plymouth Nh, Llc organization have npi 1467457044, taxonomy code is 314000000X with license number is RN056576 AP03111 in . This Business address located in 309 N Kingston Rd, Plymouth, IN 46563 Indiana.

Practice Location
Address: 309 N Kingston Rd, Plymouth, IN 46563
Phone: (574) 936-9025

Business Location
Address: 309 N Kingston Rd, Plymouth, IN 46563
Phone: (574) 936-9025
Fax: (574) 936-4928

Taxonomy

Taxonomy Code: 314000000X

License Number: RN056576 AP03111

License Number of State: IN

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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