NPI | 1790776128 |
---|---|
Doing Business As | GREENWOOD VILLAGE SOUTH |
Entity Type | Organization |
Authorized Contact | STEVEN J BERKHOUSE CFO 317-346-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 16-000010-1) |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 04-000010-1) |
Enumeration Date | 2005-11-03 |
Last Update Date | 2022-01-27 |