| NPI | 1376560169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN G. MOORE President 812-332-2265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN IN00000) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |