# FLATROCK RIVER LODGE, LP

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

## Provider details

- **NPI number:** 1114137296
- **Authorized official:** JULIA WILSON (ADMINISTRATOR)
- **Authorized official phone:** (765) 932-2974

## Contact information

- **Practice address:** 904 E 11TH ST, RUSHVILLE, IN 46173-1368
- **Practice address phone:** (765) 932-2974
- **Mailing address:** 904 E 11TH ST, RUSHVILLE, IN 46173-1368
- **Mailing address phone:** (765) 932-2974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 4818 | IN | Yes |

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/22/2020