| NPI | 1134127970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY YALE Administrator 317-819-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000095-1) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2020-08-22 |