NPI | 1619318185 |
---|---|
Doing Business As | WELLBROOKE OF AVON |
Entity Type | Organization |
Authorized Contact | DENNIS WEATHERFORD President And CEO 765-655-2620 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 013085) |
Enumeration Date | 2013-07-12 |
Last Update Date | 2016-02-02 |