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Organization
HOLY CROSS VILLAGE AT NOTRE DAME, INC.
Active
Organization
HOLY CROSS VILLAGE AT NOTRE DAME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK MUELLER (CHIEF OPERATING OFFICER)
(574) 287-1838
Entity
Organization
Contact information
Practice address
54515 STATE ROAD 933, NOTRE DAME, IN 46556
(574) 287-1838
(574) 289-7277
Mailing address
54515 STATE ROAD 933, P.O. BOX 706, NOTRE DAME, IN 46556
(574) 287-1838
(574) 289-7277
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-002668-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325990
—
IN
Enumeration date
06/13/2006
Last updated
02/04/2014
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