| NPI | 1083002521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MATTHEWS PT A 812-739-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06004780A) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |