| NPI | 1235403593 |
|---|---|
| Doing Business As | SHADY NOOK CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DANE E. WHEELER CFO 260-724-2145 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2021-01-22 |