| NPI | 1215180096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DENISE GIVENS Nurse Practitioner 219-882-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 71002672A) |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: IN 71002672A) |
| Enumeration Date | 2008-10-24 |
| Last Update Date | 2008-10-24 |