IndividualActive
Dixon Mwose
NPI 1598474652 · Day Training/Habilitation Specialist · South Bend, IN
Provider details
- NPI number
- 1598474652
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 201371060-A (IN)
Practice location
2610 E Jefferson Blvd
South Bend, IN 46615-2724
Phone: (574) 276-5026
Fax: (574) 251-0869
Mailing address
2610 E Jefferson Blvd
South Bend, IN 46615-2724
Registry dates
- Enumerated
- 2022-11-17
- Last updated
- 2022-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.