| Innovo Management, Llc | |
|
131 N. Madison St La Porte IN 46350 | |
| (219) 380-0029 | |
| Not Available |
| Full Name | Innovo Management, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 131 N. Madison St, La Porte, Indiana |
| Authorized Official Name and Position | Vivienne Zhang (MEMBER) |
| Authorized Official Contact | 2193800029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovo Management, Llc 131 N. Madison St La Porte IN 46350 Ph: () - | Innovo Management, Llc 131 N. Madison St La Porte IN 46350 Ph: (219) 380-0029 |
| NPI Number | 1457171753 |
|---|---|
| Provider Enumeration Date | 10/12/2024 |
| Last Update Date | 10/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457171753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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