NPI | 1902894462 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA FRIEDRICHS Administrator 219-345-5211 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 314000000x) |
Enumeration Date | 2005-10-10 |
Last Update Date | 2020-08-22 |