| NPI | 1952416810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUANN BLAKE Administrator 812-663-7543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 060001171) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-01-20 |