NPI | 1417991415 |
---|---|
Doing Business As | WATERFORD CROSSING |
Entity Type | Organization |
Authorized Contact | STEVEN V. LONG President & CEO 317-462-5544 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 17-011150-1) |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2006-06-16 |
Last Update Date | 2022-07-21 |