| NPI | 1275961567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY DOSECK PT A 317-573-1037 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06004741A) |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |