| 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 |