Organization
O'HANA HERITAGE FOUNDATION INC
Active
Other names
A Rosie Place
Organization subpart
No
Provider details
NPI number
Authorized official
TIEAL C. BISHOP (EXECUTIVE DIRECTOR/CEO)
(574) 315-6283
Entity
Organization
Contact information
Practice address
53131 QUINCE RD, SOUTH BEND, IN 46628-9691
(574) 235-8899
(574) 235-8897
Mailing address
53131 QUINCE RD, SOUTH BEND, IN 46628-9691
(574) 235-8899
(574) 235-8897
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
11-012157-1
IN
Other
Enumeration date
06/22/2011
Last updated
10/23/2015
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