| NPI | 1720195597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER WEIDEMAN CFO 317-873-3371 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-1000548-1) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2023-12-05 |