Precious Pals Inc | |
1139 E Lasalle Ave South Bend IN 46617-3321 | |
(574) 386-9757 | |
(574) 246-9578 |
Full Name | Precious Pals Inc |
---|---|
Speciality | Counselor |
Location | 1139 E Lasalle Ave, South Bend, Indiana |
Authorized Official Name and Position | Tina Renee Bynum (PROGRAM DIRECTOR / COUNSELOR) |
Authorized Official Contact | 5743869757 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Precious Pals Inc 1139 E Lasalle Ave South Bend IN 46617-3321 Ph: (574) 386-9757 | Precious Pals Inc 1139 E Lasalle Ave South Bend IN 46617-3321 Ph: (574) 386-9757 |
NPI Number | 1760909840 |
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Provider Enumeration Date | 08/29/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760909840 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
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