Organization
YOUNG MENS CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD L FULLMER (EXECUTIVE DIRECTOR)
17654721979
Entity
Organization
Contact information
Practice address
34 E 6TH ST, PERU, IN 46970-2350
(765) 472-1979
(469) 472-6025
Mailing address
34 E 6TH ST, PERU, IN 46970-2350
(765) 472-1979
(469) 472-6025
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
IN
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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