| NPI | 1093968448 |
|---|---|
| Former Legal Business Name | SKILLED CARE OF INDIANA LLC |
| Entity Type | Organization |
| Authorized Contact | KATHY L HEADLEY Chairperson Of The Board 812-961-2326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy Long Term Care Pharmacy (Licence: IN 600061169B) |
| Additional Taxonomies | 333600000X Pharmacy |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| 3336L0003X Pharmacy Long Term Care Pharmacy | |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2023-02-16 |