NPI | 1871605055 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN THERESE COONEY Bookkeeper 317-786-2261 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: IN 060003911) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-06-17 |