# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Majestic Care of Avon, ManorCare Health Services - Prestwick
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326082009
- **Authorized official:** MR. GREGG A. MALOTT (CFO)
- **Authorized official phone:** (574) 946-2100

## Contact information

- **Practice address:** 445 S COUNTY ROAD 525 E, AVON, IN 46123-8361
- **Practice address phone:** (317) 745-2522
- **Practice address fax:** (317) 745-2991
- **Mailing address:** 445 S COUNTY ROAD 525 E, AVON, IN 46123-8361
- **Mailing address phone:** (317) 745-2522
- **Mailing address fax:** (317) 745-2991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-000231-1 | IN | Yes |

## Other

- **Enumeration date:** 06/15/2006
- **Last updated:** 10/07/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100267900 | — | IN |