| NPI | 1790051563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC ROBERT BRYANT Occupational Therapy Assistant 317-757-9384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 32001792A) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-03-27 |