| NPI | 1922096395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE NELSON Business Office Manager 317-923-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 040003761) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2020-08-22 |