Organization
EASTGATE MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABRINA MARIE JOHNSON PTA (FACILITY REHAB COORDINATOR)
(812) 254-3301
Entity
Organization
Contact information
Practice address
2119 E NATIONAL HWY, WASHINGTON, IN 47501-4507
(812) 254-3301
(812) 257-0039
Mailing address
2119 E NATIONAL HWY, WASHINGTON, IN 47501-4507
(812) 254-3301
(812) 257-0039
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
46002337A
IN
Other
Enumeration date
08/02/2012
Last updated
08/02/2012
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