Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
The Milton Home
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP MONROE MEYER (MANAGER)
(423) 834-1494
Entity
Organization
Contact information
Practice address
206 E MARION ST, SOUTH BEND, IN 46601-1029
(574) 233-0165
(574) 237-9818
Mailing address
206 E MARION ST, SOUTH BEND, IN 46601-1029
(574) 233-0165
(574) 237-9818
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12-001141-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
155738
MEDICARE PROVIDER NUMBER
IN
Enumeration date
07/25/2013
Last updated
01/18/2022
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