# MATRIX LIFECARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bravely Women's Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851017784
- **Authorized official:** JONNI MILLER RN (NURSE MANAGER)
- **Authorized official phone:** (765) 742-1533

## Contact information

- **Practice address:** 938 MEZZANINE DR STE B, LAFAYETTE, IN 47905-8641
- **Practice address phone:** (765) 742-1533
- **Practice address fax:** (765) 742-1824
- **Mailing address:** 938 MEZZANINE DR STE B, LAFAYETTE, IN 47905-8641
- **Mailing address phone:** (765) 742-1533
- **Mailing address fax:** (765) 742-1824

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/12/2022
- **Last updated:** 10/12/2022