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 |