NPI | 1578630810 |
---|---|
Doing Business As | CAMELOT CARE CENTER |
Entity Type | Organization |
Authorized Contact | KELLY BRAVERMAN CEO, President 765-485-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric (Licence: IN 06 000466 1) |
Additional Taxonomies | 314000000X Skilled Nursing Facility |
Enumeration Date | 2006-11-30 |
Last Update Date | 2022-06-24 |