NPI | 1124015516 |
---|---|
Doing Business As | FOREST CREEK VILLAGE |
Entity Type | Organization |
Authorized Contact | STEVE VAN CAMP CFO Of Asc 317-788-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000145-1) |
Enumeration Date | 2005-09-30 |
Last Update Date | 2020-09-25 |