| NPI | 1871613398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANETTE LYNNE COMBS Registered Nurse 765-674-3321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282E00000X Long Term Care Hospital (Licence: IN 074717) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |