NPI | 1063469930 |
---|---|
Doing Business As | GREEN VALLEY CARE CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN SPEER CEO 317-745-4451 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 04000028) |
Enumeration Date | 2006-05-27 |
Last Update Date | 2019-05-29 |