BA
BLOOMINGTON ADVANCED SURGERY CENTER, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
BLOOMINGTON, IN
Licensed since
2021
Rate
—
Federal identifiers
NPI registry number1467128819
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients222
Authorized official
NameWESLEY LACKEY
TitleMEDICAL DIRECTOR
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