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Organization
VAN NESS SPAUGH SMITH INC
Active
Organization
VAN NESS SPAUGH SMITH INC
Active
Other names
Rawlins House
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNA FRIEND (CORPORARTE BOOKKEEPER)
(765) 649-4588
Entity
Organization
Contact information
Practice address
300 JH WALKER DR, PENDLETON, IN 46064-8730
(765) 778-7501
(765) 641-1229
Mailing address
300 JH WALKER DR, PENDLETON, IN 46064-8730
(765) 778-7501
(765) 641-1229
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097957
BLUE CROSS
IN
Enumeration date
07/26/2006
Last updated
08/22/2020
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