# INDIANA HEALTH AND REHABILITATION CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Todd-Dickey Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083786776
- **Authorized official:** DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 712 W 2ND ST, LEAVENWORTH, IN 47137-2264
- **Practice address phone:** (812) 739-2292
- **Practice address fax:** (712) 739-4756
- **Mailing address:** 111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
- **Mailing address phone:** (414) 908-8119
- **Mailing address fax:** (414) 908-7105

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 10/16/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100291320A | — | IN |