# ROLLING MEADOWS

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

## Provider details

- **NPI number:** 1295945731
- **Authorized official:** JO BANEZ PT (REGISTERED PHYSICAL THERAPIST)
- **Authorized official phone:** (765) 506-7373

## Contact information

- **Practice address:** 604 RENNAKER ST., ROLLING MEADOWS HEALTH CARE CENTER, LAFONTAINE, IN 46940
- **Practice address phone:** (765) 981-2081
- **Mailing address:** 1810 W WESTLEA DR, MARION, IN 46952-2445

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05008821A | IN | Yes |

## Other

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