# HANCOCK REGIONAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Otterbein Franklin SeniorLife Comm Res & Comp Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326064882
- **Authorized official:** MR. KEITH B. VAN DEMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (317) 736-7185

## Contact information

- **Practice address:** 1070 W JEFFERSON ST, FRANKLIN, IN 46131-2179
- **Practice address phone:** (317) 736-7185
- **Practice address fax:** (317) 736-1151
- **Mailing address:** 1070 W JEFFERSON ST, FRANKLIN, IN 46131-2179
- **Mailing address phone:** (317) 736-7185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 05-001127-1 | IN | — |
| 314000000X | Skilled Nursing Facility | 155771 | IN | Yes |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 11/21/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05-001127-1 | STATE LICENSE NUMBER | IN |
| 05 | — | 200247220A | — | IN |