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Organization
TALITHA KOUM
Active
Organization
TALITHA KOUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA OSTEWIG CAPRC II (DIRECTOR)
(317) 525-7791
Entity
Organization
Contact information
Practice address
527 E MAIN ST, GREENFIELD, IN 46140-2353
(317) 318-1033
Mailing address
527 E MAIN ST, GREENFIELD, IN 46140-2353
(317) 318-1033
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
NULL
251B00000X
Case Management Agency
—
NULL
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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