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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKA RIDDLE

Active Sole Proprietor

MIKA RIDDLE is a Skilled Nursing Facility healthcare provider located in VAN BUREN, Indiana. NPI 1366974404 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · VAN BUREN, IN

Registration Details

NPI Number
1366974404
Provider Type
Individual
Gender
Female
NPI Issued
Mar 29, 2017 (9.353008595093 yrs)
Last Updated
Mar 29, 2017
License
32003091A (IN)
Sole Proprietor
Yes

Practice Information

Address
407 W WALNUT ST
VAN BUREN, IN, 46991
Browse IN providers · Browse ZIP 46991
Phone
7656674950
Primary Specialty
Skilled Nursing Facility
314000000X
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.