| Bon Homie, Inc | |
|
330 W. Lexington Ave #206 Elkhart IN 46516-2803 | |
| (574) 333-3308 | |
| (574) 333-3594 |
| Full Name | Bon Homie, Inc |
|---|---|
| Speciality | Counselor |
| Location | 330 W. Lexington Ave, Elkhart, Indiana |
| Authorized Official Name and Position | Blanton S. Beathea (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5743333308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Homie, Inc 330 W. Lexington Ave #206 Elkhart IN 46516-2803 Ph: (574) 333-3308 | Bon Homie, Inc 330 W. Lexington Ave #206 Elkhart IN 46516-2803 Ph: (574) 333-3308 |
| NPI Number | 1437301132 |
|---|---|
| Provider Enumeration Date | 10/14/2008 |
| Last Update Date | 10/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437301132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
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