# VAN NESS SPAUGH SMITH INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rawlins House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063435329
- **Authorized official:** JAYNA FRIEND (CORPORARTE BOOKKEEPER)
- **Authorized official phone:** (765) 649-4588

## Contact information

- **Practice address:** 300 JH WALKER DR, PENDLETON, IN 46064-8730
- **Practice address phone:** (765) 778-7501
- **Practice address fax:** (765) 641-1229
- **Mailing address:** 300 JH WALKER DR, PENDLETON, IN 46064-8730
- **Mailing address phone:** (765) 778-7501
- **Mailing address fax:** (765) 641-1229

## Taxonomy

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

## Other

- **Enumeration date:** 07/26/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000097957 | BLUE CROSS | IN |