Organization
HEROH FUNCTIONAL INSTITUTE PC
Active
Organization
HEROH FUNCTIONAL INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. B JERMAINE WARE DC (CLINIC DIRECTOR)
(317) 400-5853
Entity
Organization
Contact information
Practice address
8425 CASTLETON CORNER DR, INDIANAPOLIS, IN 46250-3580
(317) 400-5853
(317) 947-0909
Mailing address
6390 SPRING MILL RD, INDIANAPOLIS, IN 46260-4242
(309) 287-9628
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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