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Organization
MIDDLETOWN HEALTHCARE MANAGEMENT INC
Active
Organization
MIDDLETOWN HEALTHCARE MANAGEMENT INC
Active
Other names
middletown nursing center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA ELLEN SPAUGH ADMIN/RN (ADMINISTRATOR)
(765) 354-2223
Entity
Organization
Contact information
Practice address
131 S 10TH ST, MIDDLETOWN, IN 47356-9772
(765) 354-2223
(765) 354-9066
Mailing address
131 S 10TH ST, MIDDLETOWN, IN 47356-9772
(765) 354-2223
(765) 354-9066
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4712
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098058
ANTHEM
IN
05
—
100289600A
—
IN
Enumeration date
10/06/2005
Last updated
12/28/2009
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