Provider First Line Business Practice Location Address:
1203 WASHINGTON STREET
Provider Second Line Business Practice Location Address:
IU HEALTH LA PORTE HOSPITAL WELLNESS & REHABILITATION
Provider Business Practice Location Address City Name:
LA PORTE
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
219-326-2474
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2014