| NPI | 1730130238 |
|---|---|
| Doing Business As | ASCENSION ST. VINCENT RANDOLPH |
| Other Name | SWING BED UNIT |
| Entity Type | Organization |
| Authorized Contact | KATHY YOUNG Interim Administrator 765-584-0107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IN 06-005046-1) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-08-03 |