| NPI | 1841258035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HINTON Provider Enrollment Specialist 812-772-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: IN 15z322) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-11-16 |