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Organization

BON HOMIE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BLANTON S. BEATHEA (EXECUTIVE DIRECTOR)
(574) 333-3308
Entity
Organization

Contact information

Practice address
330 W. LEXINGTON AVE, #206, ELKHART, IN 46516-2803
(574) 333-3308
(574) 333-3594
Mailing address
330 W. LEXINGTON AVE, #206, ELKHART, IN 46516-2803
(574) 333-3308
(574) 333-3594

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
104100000X
Social Worker

Other

Enumeration date
10/14/2008
Last updated
10/14/2008
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