# HEALTHY SCHOOLS INDIANA LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871074732
- **Authorized official:** DONALD BOSELLI JR. (PRESIDENT)
- **Authorized official phone:** (904) 379-5997

## Contact information

- **Practice address:** 6605 E STATE BLVD STE 9, FORT WAYNE, IN 46815-7036
- **Practice address phone:** (571) 289-1765
- **Mailing address:** 3546 SAINT JOHNS BLUFF RD S UNIT 113, JACKSONVILLE, FL 32224-2714
- **Mailing address phone:** (904) 379-5997

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2018
- **Last updated:** 08/28/2018