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Dixon Mwose
Day Training/Habilitation Specialist in South Bend, Indiana
NPI 1598474652

Dixon Mwose is a Day Training/Habilitation Specialist based in South Bend, IN. Dixon Mwose practices in South Bend, IN. The NPI Number for Dixon Mwose is 1598474652 and holds a License No. 201371060-A (Indiana).

The current practice location address for Dixon Mwose is 2610 E Jefferson Blvd, South Bend, IN and can be reached out via phone at 574-276-5026 and via fax at 574-251-0869.

Location: 2610 E Jefferson Blvd, South Bend, IN, 46615-2724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598474652
Provider Name
Dixon Mwose
Credential
Provider Entity Type
Individual
Gender
Male
Address
2610 E Jefferson Blvd, South Bend, IN, 46615-2724
Phone Number
574-276-5026
Fax Number
574-251-0869
Provider Enumeration Date
11/17/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
47-3518606 05 IN
201371060A 05 IN
institution
Provider Business Practice Location Address Details
Address
2610 E Jefferson Blvd
City
South Bend
State
Indiana
Zip
46615-2724
Phone Number
574-276-5026
Fax Number
574-251-0869
person
Provider Business Mailing Address Details
Address
2610 E Jefferson Blvd
City
South Bend
State
Indiana
Zip
46615-2724
Phone Number
574-276-5026
Fax Number
574-251-0869
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
-
Taxonomy
171W00000X
License No.
201371060-A (Indiana)
Definition
A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
201371060-A (Indiana)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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