NPI | 1104074798 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN MOORE Owner/CEO 812-332-2265 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05000937A) |
Enumeration Date | 2008-09-08 |
Last Update Date | 2008-09-08 |