Organization
STEPHANIE JORDAN MINISTRIES, INC.
Active
Other names
Temple Smoothies and Care
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ROZELL JORDAN RN (PRESIDENT)
(219) 331-3046
Entity
Organization
Contact information
Practice address
1904 E. US HWY 20, MICHIGAN CITY, IN 46360
(219) 331-3046
Mailing address
P.O. BOX 76, MICHIGAN CITY, IN 46361-0076
(219) 331-3046
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
28146885A
IN
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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