Hoosier Wellness Operating Subsidiary, LLC
NPI #1306795737 in Bloomington, Indiana
Provider Information
- NPI Number
- 1306795737
- Entity Type
- Organization
- Organization Name
- Hoosier Wellness Operating Subsidiary, LLC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jan 27, 2026
- Last Updated
- Jan 27, 2026
Practice Location
- Address
- 637 S WALKER ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2176
- Phone
- (305) 361-9115
Authorized Official
- Name
- DANIEL MOORE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 361-9115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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