NPI | 1023031465 |
---|---|
Doing Business As | THE WATERS OF SYRACUSE SKILLED NURSING FACILITY |
Entity Type | Organization |
Authorized Contact | DAVID DUNKLE President/CEO 317-736-3396 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-000566-1) |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-01-30 |