| NPI | 1700137353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK MOHAN Administrator 812-760-2348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06000488A) |
| Enumeration Date | 2012-09-23 |
| Last Update Date | 2015-01-15 |