| NPI | 1811970569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH J DETRUDE President 317-573-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000105-1) |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-08-28 |