| NPI | 1114916806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRIE ANNE HANAWALT Director Of Nursing 765-472-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 04-005062-1) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |