# CATHEDRALROCK

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

## Provider details

- **NPI number:** 1891781985
- **Authorized official:** KENT HARRINGTON (PRESIDENT)
- **Authorized official phone:** (817) 335-4111

## Contact information

- **Practice address:** 300 E PRAIRIE ST, WARSAW, IN 46580-4429
- **Practice address phone:** (574) 267-8922
- **Practice address fax:** (574) 268-2711
- **Mailing address:** 306 W 7TH ST, 415 FORT WORTH CLUB BUILDING, FORT WORTH, TX 76102-4900
- **Mailing address phone:** (817) 335-4111
- **Mailing address fax:** (817) 335-0800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 050003591 | IN | Yes |

## Other

- **Enumeration date:** 09/23/2005
- **Last updated:** 06/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100274920 | — | IN |
| 01 | — | IN000359 | FACILITY ID TRANSMISSION | IN |