Organization
KETAMINE IS HOPE LLC
Active
Organization
KETAMINE IS HOPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIE ADDIS (CRNA)
(574) 544-2283
Entity
Organization
Contact information
Practice address
300 S SAINT LOUIS BLVD STE 103, SOUTH BEND, IN 46617-3028
(574) 544-2283
Mailing address
300 S SAINT LOUIS BLVD STE 103, SOUTH BEND, IN 46617-3028
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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