NPI | 1285611939 |
---|---|
Doing Business As | KENDALLVILLE MANOR |
Entity Type | Organization |
Authorized Contact | DANE WHEELER CFO/Treasurer 260-724-2145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000529-1) |
Enumeration Date | 2005-12-23 |
Last Update Date | 2013-02-28 |