Organization
HOOSIER MC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN LITT (SECRETARY/TREASURER)
(646) 844-3603
Entity
Organization
Contact information
Practice address
3203 E MOORES PIKE, BLOOMINGTON, IN 47401-7122
(812) 335-4655
Mailing address
3203 E MOORES PIKE, BLOOMINGTON, IN 47401-7122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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