NPI | 1851579486 |
---|---|
Doing Business As | BRICKYARD HEALTHCARE - TWELFTH STREET CARE CENTER |
Entity Type | Organization |
Authorized Contact | KEVIN P SPEER President/CEO 317-745-4451 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2008-02-06 |
Last Update Date | 2022-06-14 |