NPI | 1659454148 |
---|---|
Doing Business As | CLOVERLEAF OF KNIGHTSVILLE |
Entity Type | Organization |
Authorized Contact | DANE WHEELER CFO/Treasurer 260-724-2145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-000296-1) |
Enumeration Date | 2006-10-20 |
Last Update Date | 2013-04-16 |