| NPI | 1275515082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIDA HARRIS Chief Medical Officer 317-639-6671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000008-3) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |