NPI | 1457332033 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANT BUCCIARELLI CFO 317-773-0760 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 155677) |
Enumeration Date | 2005-11-09 |
Last Update Date | 2018-03-28 |