Organization
WRIGHT DREAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TAMEKA LA 'COLE WRIGHT (OWNER)
(574) 300-2820
Entity
Organization
Contact information
Practice address
706 S SHERIDAN ST, SOUTH BEND, IN 46619-2935
(574) 300-2820
Mailing address
706 S SHERIDAN ST, SOUTH BEND, IN 46619-2935
(574) 300-2820
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
1350228558
IN
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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