# MLB MERIDIAN HEALTH FACILITIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Meridian Nursing and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902801574
- **Authorized official:** WILLIAM MANDO (CFO)
- **Authorized official phone:** (813) 635-9500

## Contact information

- **Practice address:** 2102 S MERIDIAN ST, INDIANAPOLIS, IN 46225-1923
- **Practice address phone:** (317) 786-9426
- **Practice address fax:** (317) 786-9428
- **Mailing address:** 2102 S MERIDIAN ST, INDIANAPOLIS, IN 46225-1923
- **Mailing address phone:** (317) 786-9426
- **Mailing address fax:** (317) 786-9428

## Taxonomy

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

## Other

- **Enumeration date:** 06/20/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10028620D | — | IN |