Organization
JACK R MCCOY
Active
Other names
Meadow Springs of Greenwood, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JACK MCCOY (OWNER)
(765) 414-4789
Entity
Organization
Contact information
Practice address
2049 VETERANS MEMORIAL PKWY S, LAFAYETTE, IN 47909-9362
(765) 464-6370
(765) 464-6267
Mailing address
6000 S 150 W, LAFAYETTE, IN 47909-8909
(765) 414-4789
(405) 603-2207
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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