| NPI | 1114135332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ANN MANN Occupational Therapist 812-945-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 31004255A) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2021-09-15 |