| NPI | 1578630810 |
|---|---|
| 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 |