| NPI | 1790951184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE KATHERINE TROYER PT A 317-445-2203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06003667A) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |