NPI | 1437159134 |
---|---|
Doing Business As | SHADY NOOK CARE CENTER |
Entity Type | Organization |
Authorized Contact | DANIEL MCMULLEN Administrator 812-537-0930 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 040003041) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2020-08-22 |