NPI | 1720076128 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA C JOHNSON Administrator 812-874-2814 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 04-000412-1) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-08-22 |