| NPI | 1750585766 |
|---|---|
| Doing Business As | GOSPORT NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | FRED J PONTON Owner,Administrator 812-879-4242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 06000409-1) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-05-29 |