Healthcare Provider Details

I. General information

NPI: 1457906141
Provider Name (Legal Business Name): WITH DIGNITY TOO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N WESTERN AVE
MARION IN
46952-2507
US

IV. Provider business mailing address

1080 N 400 E
KOKOMO IN
46901-3623
US

V. Phone/Fax

Practice location:
  • Phone: 765-450-6554
  • Fax: 765-450-6744
Mailing address:
  • Phone: 765-450-6554
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC S BROWN
Title or Position: OFFICE MANAGER
Credential:
Phone: 765-450-6554