Organization
FLATROCK RIVER LODGE, LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA WILSON (ADMINISTRATOR)
(765) 932-2974
Entity
Organization
Contact information
Practice address
904 E 11TH ST, RUSHVILLE, IN 46173-1368
(765) 932-2974
Mailing address
904 E 11TH ST, RUSHVILLE, IN 46173-1368
(765) 932-2974
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4818
IN
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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