| NPI | 1194882647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA R ROTH Controller 317-557-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IL 0046532) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-10-02 |