| NPI | 1669698569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER A MAROTTI Administrator 260-637-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-09-19 |