| NPI | 1265422968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANT BUCCIARELLI CFO 317-773-0760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 352093620) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2018-03-28 |