| NPI | 1548414626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN ROUSCULP Cota 574-208-0020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 32001280A) |
| Enumeration Date | 2008-11-16 |
| Last Update Date | 2008-11-16 |