BA
BLOOMINGTON ASC, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
BLOOMINGTON, IN
Licensed since
2014
Rate
—
Federal identifiers
NPI registry number1356764484
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients738
Authorized official
NamePETER BLACH
TitleOFFICER/AUTHORIZED OFFICIAL
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