| NPI | 1295950475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE M. PENSE Administrator 260-925-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 07-000307-1) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2013-06-25 |