Organization
DYCORA TRANSITIONAL HEALTH - ELKHART LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(574) 294-7641
Entity
Organization
Contact information
Practice address
1001 W HIVELY AVE, ELKHART, IN 46517-1742
(574) 294-7641
Mailing address
1001 W HIVELY AVE, ELKHART, IN 46517-1742
(574) 294-7641
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
11/23/2016
Last updated
01/24/2018
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