| NPI | 1174710750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMI MOORE Professional Service Director 574-546-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: IN 080056581) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2009-01-13 |