Organization
INSPIRED HEALTH LLC
Active
Organization
INSPIRED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACY RENEE FULLER DC (OWNER)
(219) 588-3476
Entity
Organization
Contact information
Practice address
300 W 80TH PL STE A, MERRILLVILLE, IN 46410-5476
(219) 588-3476
Mailing address
2406 NOTTINGHAM DR, VALPARAISO, IN 46383-9181
(219) 588-3476
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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