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Organization
CATHEDRALROCK
Active
Organization
CATHEDRALROCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENT HARRINGTON (PRESIDENT)
(817) 335-4111
Entity
Organization
Contact information
Practice address
300 E PRAIRIE ST, WARSAW, IN 46580-4429
(574) 267-8922
(574) 268-2711
Mailing address
306 W 7TH ST, 415 FORT WORTH CLUB BUILDING, FORT WORTH, TX 76102-4900
(817) 335-4111
(817) 335-0800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050003591
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274920
—
IN
01
—
IN000359
FACILITY ID TRANSMISSION
IN
Enumeration date
09/23/2005
Last updated
06/26/2008
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