| NPI | 1255404984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ELMER NICKLE Director Of Finance 765-569-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000487-1) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |