Whalio Doctors

NPI 1255734042

Jacobs Ladder

Organisation Early Intervention Provider Agency Valparaiso, IN

Practice location

Address
322 W. 806n, Valparaiso, IN 46385
Phone
(219) 764-4888
Mailing address
7105 W. 138th Ave, Cedar Lake, IN 46303

Authorised official

Name
Mariann Frigo
Title
Director
Phone
(219) 764-4888

Registered specialties

Early Intervention Provider Agency Primary
Agencies Taxonomy 252Y00000X Licence 32002230A (IN)

Registry record

NPI
1255734042
Entity type
Organization
NPI issued
7 Oct 2014
Record last updated
7 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.