| NPI | 1669558300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRANCE E WILSON President & Chief Executive Officer 765-502-4440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IN 05-005072-2) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-10-17 |