| NPI | 1619176641 |
|---|---|
| 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 |