| NPI | 1669462321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK AMBROSE CFO 812-429-1845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 004208-1) |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based (Licence: IN 07-0004208-01) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2017-03-06 |