| NPI | 1467590562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA DEPREZ Corporate Officer 765-529-2961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-000133-1) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2008-04-25 |