| NPI | 1972605178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAR KULLERSTRAND Regional Director 219-934-8994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: IN 050050081) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2024-07-11 |