| NPI | 1740214493 |
|---|---|
| Doing Business As | HICKORY CREEK AT LEBANON |
| Entity Type | Organization |
| Authorized Contact | GARY BRENT WAYMIRE Vice President Of Operations 317-570-0266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000118-1) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |