# DAVIESS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lawrence Manor Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669466546
- **Authorized official:** DERON STEINER (BOARD CHAIR)
- **Authorized official phone:** (812) 254-2760

## Contact information

- **Practice address:** 8935 E 46TH ST, INDIANAPOLIS, IN 46226-4125
- **Practice address phone:** (317) 898-1515
- **Mailing address:** 1314 WALNUT STREET, WASHINGTON, IN 47501-2860
- **Mailing address phone:** (812) 254-2760
- **Mailing address fax:** (260) 728-3582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 040003831 | IN | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 01/02/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100289610A | — | IN |