| NPI | 1972514891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R. LEE Director Of Finance 317-823-6841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 09-000084-1) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: IN 050000841) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-03-09 |