| NPI | 1528349644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KILEY DIANNE KITZINGER Speech Language Pathologist 317-439-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2022-07-21 |