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Spa, Inc. — NPI 1417428400, Elkhart, IN | NPI Central

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NPI 1417428400

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Spa, Inc.

NPI 1417428400 · Substance Abuse Rehabilitation Facility · Elkhart, IN

Provider details

NPI number: 1417428400
Entity type: Organization
Primary specialty: Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
Organization subpart: No
Authorized official: Carrie Zickefoose, Executive Director(574) 522-8338

Specialties & taxonomies

Substance Abuse Rehabilitation FacilityPrimary324500000X
Residential Treatment Facilities

Practice location

23221 Old US 20

Elkhart, IN 46516-9772

Phone: (574) 522-8338

Fax: (574) 742-6118

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

23221 Old US 20 East

Elkhart, IN 46516-9772

Other names (DBA / former)

Doing business as: Spa Women'S Ministry Homes

Registry dates

Enumerated: 2018-12-17
Last updated: 2018-12-17

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.