| NPI | 1710388640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY MARIE HOPPER Follow Up 317-583-3036 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
| 284300000X Special Hospital | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2014-09-10 |