NPI | 1619176641 |
---|---|
Doing Business As | WHITEWATER COMMONS SENIOR LIVING |
Entity Type | Organization |
Authorized Contact | KELLY BRAVERMAN CEO, President 765-485-8100 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 110005101) |
Enumeration Date | 2007-07-11 |
Last Update Date | 2022-06-24 |