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Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
LAKEVIEW MANOR, Envive of Indianapolis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SPRUNGER CPA (ASSISTANT CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
45 BEACHWAY DRIVE, INDIANAPOLIS, IN 46224-8501
(317) 243-3721
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733-2303
(260) 724-2145
(317) 818-1022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11-000032-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273330
—
IN
Enumeration date
11/15/2006
Last updated
06/17/2022
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