# DYCORA TRANSITIONAL HEALTH - MISHAWAKA SPRINGS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043754229
- **Authorized official:** MARY HAWKINS (EXECUTIVE)
- **Authorized official phone:** (574) 277-2500

## Contact information

- **Practice address:** 609 TANGLEWOOD LN, MISHAWAKA, IN 46545-2625
- **Practice address phone:** (574) 277-2500
- **Mailing address:** 609 TANGLEWOOD LN, MISHAWAKA, IN 46545-2625
- **Mailing address phone:** (574) 277-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | IN | Yes |

## Other

- **Enumeration date:** 12/07/2016
- **Last updated:** 01/24/2018