NPI 1427061407

Service Above Self, LLC

Organisation Exclusive Provider Organization Indianapolis, IN

Practice location

Address: 3919 Meadows Dr Box 421441, Indianapolis, IN 46205-3113
Phone: (317) 541-1836
Mailing address: 3919 Meadows Dr, Indianapolis, IN 46205-3113

Authorised official

Name: Austin O Nwaka
Title: President
Phone: (317) 541-1836

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1427061407
Entity type: Organization
NPI issued: 14 Aug 2006
Record last updated: 30 Jul 2008

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.