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Organization
MATRIX LIFECARE CENTER INC.
Active
Organization
MATRIX LIFECARE CENTER INC.
Active
Other names
Bravely Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
JONNI MILLER RN (NURSE MANAGER)
(765) 742-1533
Entity
Organization
Contact information
Practice address
938 MEZZANINE DR STE B, LAFAYETTE, IN 47905-8641
(765) 742-1533
(765) 742-1824
Mailing address
938 MEZZANINE DR STE B, LAFAYETTE, IN 47905-8641
(765) 742-1533
(765) 742-1824
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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