# DYCORA TRANSITIONAL HEALTH - MERRILLVILLE LLC

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

## Provider details

- **NPI number:** 1063955524
- **Authorized official:** JULIANNE WILLIAMS (EXECUTIVE)
- **Authorized official phone:** (559) 977-3358

## Contact information

- **Practice address:** 8800 VIRGINIA PL, MERRILLVILLE, IN 46410-7109
- **Practice address phone:** (559) 977-3358
- **Mailing address:** 8800 VIRGINIA PL, MERRILLVILLE, IN 46410-7109

## Taxonomy

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

## Other

- **Enumeration date:** 11/30/2016
- **Last updated:** 11/30/2016