| NPI | 1922099258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH INGRAM Administrator 219-464-4976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 040000831) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-08-22 |