| NPI | 1306651740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINOTENDA CHINEMBIRI CEO 317-340-8818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2025-02-12 |
| Last Update Date | 2025-02-12 |