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Organization
HOOSIER CARE II
Active
Organization
HOOSIER CARE II
Active
Other names
Hanover Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA CAMPBELL (ACCOUNTS RECEIVABLE MANAGER)
(859) 255-0075
Entity
Organization
Contact information
Practice address
410 W LAGRANGE RD, HANOVER, IN 47243-9439
(812) 876-2625
(859) 281-5150
Mailing address
535 W 2ND ST, STE 105, LEXINGTON, KY 40508-1284
(859) 255-0075
(859) 281-5150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
09/12/2005
Last updated
08/22/2020
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