Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Life Care Center of Willows
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY CROSS (ASSIST SECRETARY)
(423) 473-5867
Entity
Organization
Contact information
Practice address
1000 ELIZABETH ST, VALPARAISO, IN 46383-4326
(219) 464-4858
(219) 477-4746
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
040000781
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289310
—
IN
Enumeration date
05/27/2006
Last updated
04/09/2019
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