| NPI | 1427058288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D YOUNG Controller 260-589-3173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 120002801) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: IN 120002801) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: IN 120002801) | |
| 311Z00000X Custodial Care Facility (Licence: IN 120002801) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 120002801) | |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2012-08-09 |