| NPI | 1336225622 |
|---|---|
| Doing Business As | WATERFORD PLACE HEALTH CAMPUS |
| Entity Type | Organization |
| Authorized Contact | KELLY BRAVERMAN CEO, President 765-485-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 060026671) |
| Enumeration Date | 2006-10-29 |
| Last Update Date | 2022-03-26 |