| NPI | 1235142522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BONDS President 317-887-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: VA NH2646) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-10-25 |