| NPI | 1699764357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP BROWN President 317-398-6809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 050003141) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |