| NPI | 1093979676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF CLAYTON Vice President 765-651-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 22003502A) |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |