| NPI | 1134217201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORON U JACKSON-KENNY Administrator 317-253-3486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06000394) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-11-21 |