| Warriors Respite, Llc | |
|
109 Allendale Ln Terre Haute IN 47802-4704 | |
| (812) 251-5034 | |
| Not Available |
| Full Name | Warriors Respite, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 109 Allendale Ln, Terre Haute, Indiana |
| Authorized Official Name and Position | Richard Lee Rodgers (OWNER) |
| Authorized Official Contact | 6307306405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Warriors Respite, Llc 5015 Us Hwy 41 Pmb 141 Terre Haute IN 47802-4711 Ph: (812) 251-5034 | Warriors Respite, Llc 109 Allendale Ln Terre Haute IN 47802-4704 Ph: (812) 251-5034 |
| NPI Number | 1730934357 |
|---|---|
| Provider Enumeration Date | 04/18/2024 |
| Last Update Date | 04/18/2024 |
| Certification Date | 04/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730934357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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