NPI | 1013193903 |
---|---|
Doing Business As | ENVIVE OF SULLIVAN |
Doing Business As | BRECKENRIDGE HEALTH & REHABILITATION |
Entity Type | Organization |
Authorized Contact | DANE E WHEELER CFO 260-724-2145 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 110005251) |
Enumeration Date | 2008-01-10 |
Last Update Date | 2022-08-15 |