The South Bend Clinic LLC
NPI #1124791587 in Mishawaka, Indiana
Provider Information
- NPI Number
- 1124791587
- Entity Type
- Organization
- Organization Name
- The South Bend Clinic LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 30, 2021
- Last Updated
- Nov 3, 2022
Practice Location
Authorized Official
- Name
- JENNIFER LYNN HILER
- Title
- CREDENTIALING COORDINATOR
- Phone
- (574) 239-1567
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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