Full Gospel
NPI #1366133548 in Valparaiso, Indiana
Provider Information
- NPI Number
- 1366133548
- Entity Type
- Organization
- Organization Name
- Full Gospel
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- May 17, 2023
- Last Updated
- May 17, 2023
Practice Location
- Address
- 857 PROSPECT ST
- City
- Valparaiso
- State
- Indiana
- ZIP Code
- 46385-4552
- Phone
- (219) 281-9481
Authorized Official
- Name
- ANTOINETTE CUNDIFF
- Title
- PRESIDENT
- Phone
- (219) 281-9481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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