Jocelyn Bailey | |
616 E Colfax Ave South Bend IN 46617-2827 | |
(574) 210-8098 | |
Not Available |
Full Name | Jocelyn Bailey |
---|---|
Speciality | Community/behavioral Health |
Location | 616 E Colfax Ave, South Bend, Indiana |
Authorized Official Name and Position | Jocelyn Bailey (CEO) |
Authorized Official Contact | 5742108098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jocelyn Bailey 1602 Sunnymede Ave South Bend IN 46615-1328 Ph: (574) 210-8098 | Jocelyn Bailey 616 E Colfax Ave South Bend IN 46617-2827 Ph: (574) 210-8098 |
NPI Number | 1710481148 |
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Provider Enumeration Date | 03/21/2018 |
Last Update Date | 03/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710481148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 39002480A (Indiana) | Primary |
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