# DYCORA TRANSITIONAL HEALTH - VALPARAISO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730622630
- **Authorized official:** MARY HAWKINS (EXECUTIVE)
- **Authorized official phone:** (219) 462-6158

## Contact information

- **Practice address:** 251 STURDY RD, VALPARAISO, IN 46383-5921
- **Practice address phone:** (219) 462-6158
- **Mailing address:** 251 STURDY RD, VALPARAISO, IN 46383-5921
- **Mailing address phone:** (219) 462-6158

## Taxonomy

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

## Other

- **Enumeration date:** 11/23/2016
- **Last updated:** 01/24/2018