| NPI | 1316928252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA HUTH Secretary/Treasurer 317-806-6770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: NE 264016) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: NE ALF158) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2012-03-01 |