| NPI | 1437483344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN FLINT Dor 317-881-9164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: IN 06003406a) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |