| NPI | 1003821695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J DEPREZ Corporate Officer 765-529-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 060000351) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2008-04-25 |