NPI | 1952452815 |
---|---|
Doing Business As | FAIRWAY VILLAGE |
Entity Type | Organization |
Authorized Contact | STEVE VAN CAMP CFO Of Asc 317-788-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 06-004700-1) |
Enumeration Date | 2007-01-16 |
Last Update Date | 2020-09-25 |