| NPI | 1356336861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | K. DOUGLAS COOK Member 317-577-4150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 050004561) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2009-12-01 |