NPI | 1770539546 |
---|---|
Doing Business As | BRICKYARD HEALTHCARE - PETERSBURG CARE CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN P SPEER President/CEO 317-745-4451 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2006-05-25 |
Last Update Date | 2022-06-14 |