# HOLY CROSS VILLAGE AT NOTRE DAME, INC.

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

## Provider details

- **NPI number:** 1760425391
- **Authorized official:** MR. JACK MUELLER (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (574) 287-1838

## Contact information

- **Practice address:** 54515 STATE ROAD 933, NOTRE DAME, IN 46556
- **Practice address phone:** (574) 287-1838
- **Practice address fax:** (574) 289-7277
- **Mailing address:** 54515 STATE ROAD 933, P.O. BOX 706, NOTRE DAME, IN 46556
- **Mailing address phone:** (574) 287-1838
- **Mailing address fax:** (574) 289-7277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 05-002668-2 | IN | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 02/04/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200325990 | — | IN |