NPI | 1669471199 |
---|---|
Doing Business As | EDGEWATER WOODS |
Entity Type | Organization |
Authorized Contact | STEVE VAN CAMP CFO Of Asc 317-788-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-000026-4) |
Enumeration Date | 2005-07-18 |
Last Update Date | 2020-09-25 |