| NPI | 1376430595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA COSBY Director 317-444-1231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |