# PULASKI MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** South Shore Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346292737
- **Authorized official:** GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (574) 946-2103

## Contact information

- **Practice address:** 353 TYLER STREET, GARY, IN 46402-1149
- **Practice address phone:** (219) 886-7070
- **Practice address fax:** (219) 886-0810
- **Mailing address:** 353 TYLER STREET, GARY, IN 46402-1149
- **Mailing address phone:** (219) 886-7070
- **Mailing address fax:** (219) 886-0810

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 14-000369-1 | IN | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 06/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100275190 | — | IN |
| 05 | — | 100275190B | — | IN |