Organization
DECATUR COUNTY MEMORIAL HOSPITAL
Active
Other names
Morningside Nursing and Memory Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA SIMMONS (OWNER)
(812) 663-1170
Entity
Organization
Contact information
Practice address
18325 BAILEY AVE, SOUTH BEND, IN 46637
(574) 272-2602
(574) 272-2608
Mailing address
8833 GROSS POINT RD, SUITE 308, SKOKIE, IL 60077-1859
(847) 679-6200
(847) 679-6236
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
11-004732-1
IN
311500000X
Alzheimer Center (Dementia Center)
14003759
IN
314000000X
Skilled Nursing Facility
Primary
15-0047321-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200808300A
—
IN
Enumeration date
11/30/2006
Last updated
05/11/2016
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