NPI | 1013133776 |
---|---|
Doing Business As | CAPITOL VILLAGE |
Entity Type | Organization |
Authorized Contact | DERON STEINER Board Chair 812-254-2760 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 14-000567-2) |
Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 07-000567-1) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2021-01-02 |