Organization
SWEET PEAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M. COVILLE OTR (OWNER)
(260) 341-8230
Entity
Organization
Contact information
Practice address
10620 CORPORATE DR, SUITE C, FORT WAYNE, IN 46845-1711
(260) 341-8230
(260) 440-8806
Mailing address
10620 CORPORATE DR, SUITE C, FORT WAYNE, IN 46845-1711
(260) 341-8230
(260) 440-8806
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31000165A
IN
Other
Enumeration date
02/04/2007
Last updated
05/07/2013
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