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 |