| NPI | 1023112349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L. BLAIR Accounting Manager 317-873-3371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN NA) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2019-07-25 |