NPI | 1306735568 |
---|---|
Other Name | CEDARBROOK VILLAGE AT WARE |
Entity Type | Organization |
Authorized Contact | PATRICIA K KING Chief Financial Officer 317-796-3868 |
Organization Subpart ? | No |
Primary Taxonomy | 251T00000X PACE Provider Organization |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-01 |