NPI | 1134519283 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN KOCHERT Physician 765-446-5055 |
Organization Subpart ? | No |
Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: IN 01031275A) |
Enumeration Date | 2015-01-28 |
Last Update Date | 2015-01-28 |