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Organization

MISHAWAKA REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MORGAN HENSON (SENIOR DIRECTOR)
(304) 503-3448
Entity
Organization

Contact information

Practice address
1215 TRINITY PL, MISHAWAKA, IN 46545-5000
(812) 508-8545
Mailing address
1215 TRINITY PL, MISHAWAKA, IN 46545-5000

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
07/10/2025
Last updated
07/21/2025
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