NPI | 1285723734 |
---|---|
Doing Business As | GRACE VILLAGE HEALTH CARE FACILITY |
Entity Type | Organization |
Authorized Contact | JOHN ALLEY President/CEO 574-223-3141 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 060005011) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IN 060005011) |
314000000X Skilled Nursing Facility (Licence: IN 060005011) | |
Enumeration Date | 2006-10-12 |
Last Update Date | 2013-11-25 |