Organization
RIVERVIEW HOSPITAL
Active
Other names
Colonial Oaks Health and Rehabiliation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY OTT (PRESIDENT)
(765) 664-5400
Entity
Organization
Contact information
Practice address
4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
(765) 674-9791
(765) 674-7117
Mailing address
4725 S COLONIAL OAKS DR, MARION, IN 46953-5341
(765) 674-9791
(765) 674-7117
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266300
—
IN
Enumeration date
08/23/2006
Last updated
11/03/2015
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