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Organization
IIMC
Active
Organization
IIMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUILINE GREENWALD (RN)
(317) 809-3755
Entity
Organization
Contact information
Practice address
5940 FURNAS RD, INDIANAPOLIS, IN 46221-4002
(317) 809-3755
Mailing address
5940 FURNAS RD, INDIANAPOLIS, IN 46221-4002
(317) 809-3755
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
Other
Enumeration date
03/23/2015
Last updated
03/25/2015
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