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Organization

A1DERFUL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LORI COOK (CEO)
(217) 201-1237
Entity
Organization

Contact information

Practice address
919 E 35TH AVE, 1K, GRIFFITH, IN 46319-1368
(217) 201-1237
Mailing address
919 E 35TH AVE, 1K, GRIFFITH, IN 46319-1368
(217) 201-1237

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary

Other

Enumeration date
01/19/2012
Last updated
01/19/2012
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  • Eligibility checks
  • EDI platform