NPI | 1376531681 |
---|---|
Doing Business As | NORTHWEST MANOR HEALTH CARE CENTER |
Entity Type | Organization |
Authorized Contact | DANE WHEELER CFO/Treasurer 260-724-2145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN IN000015) |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: IN 200917040a) |
Enumeration Date | 2005-10-11 |
Last Update Date | 2013-03-06 |