NPI | 1124494760 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE L. WILSON Accounting Clerk 812-246-4866 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 15-000563-1) |
Enumeration Date | 2015-08-18 |
Last Update Date | 2015-08-18 |