Organization
CANCER CARE PARTNERS, LLC
Active
Other names
CCP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH A GAGLIARDI SR. (CHIEF EXECUTIVE OFFICER)
(574) 204-7300
Entity
Organization
Contact information
Practice address
301 E DAY RD, MISHAWAKA, IN 46545-3455
(574) 204-7300
(574) 204-7301
Mailing address
PO BOX 539, SOUTH BEND, IN 46624-0539
(574) 204-7300
(574) 204-7301
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
—
IN
284300000X
Special Hospital
Primary
110123871
IN
Other
Enumeration date
12/08/2010
Last updated
04/27/2011
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