| NPI | 1275703092 |
|---|---|
| Doing Business As | BRICKYARD HEALTHCARE - PORTAGE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN P SPEER President/CEO 317-745-4451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2022-06-14 |