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1417491697
DYCORA TRANSITIONAL HEALTH - MISHAWAKA LLC
MISHAWAKA, IN
NPI
1417491697
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Entity Type
Organization
Authorized Contact
MARY HAWKINS
Executive
574-259-1917
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
Enumeration Date
2016-12-07
Last Update Date
2018-01-24
Business Address
DYCORA TRANSITIONAL HEALTH - MISHAWAKA LLC
811 E 12TH ST
MISHAWAKA, IN 46544-5408
Phone number: 574-259-1917
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Mailing Address
DYCORA TRANSITIONAL HEALTH - MISHAWAKA LLC
811 E 12TH ST
MISHAWAKA, IN 46544-5408
Phone number: 574-259-1917
Copy
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