# INDIANA HEALTH AND REHABILITATION CENTERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ironwood Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669544516
- **Authorized official:** DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
- **Authorized official phone:** (414) 908-8119

## Contact information

- **Practice address:** 1950 RIDGEDALE RD, SOUTH BEND, IN 46614-2243
- **Practice address phone:** (574) 291-6722
- **Practice address fax:** (574) 291-8768
- **Mailing address:** 111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
- **Mailing address phone:** (414) 908-8119
- **Mailing address fax:** (414) 908-7105

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 01/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100291540A | — | IN |