Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY PHIPPS
Active Sole ProprietorSTACEY PHIPPS is a Nursing Facility/Intermediate Care Facility healthcare provider located in SOUTH BEND, Indiana. NPI 1265716146 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · SOUTH BEND, IN
Registration Details
- NPI Number
- 1265716146
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2011 (14.854517221677 yrs)
- Last Updated
- Oct 10, 2011
- License
-
32001430A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1950 RIDGEDALE RDSOUTH BEND, IN, 466142243Browse IN providers · Browse ZIP 46614
- Phone
- 5742916722
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
Other Nursing Facility/Intermediate Care Facility Providers in SOUTH BEND, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. JOANE CAMILLE WILLIAMS | M.A.,CCC-SLP | 1134403033 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.