Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Bethany Village Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE VAN CAMP CPA (CFO OF ASC)
(317) 788-2500
Entity
Organization
Contact information
Practice address
3530 S SHELBY ST, INDIANAPOLIS, IN 46227-3269
(317) 784-3066
(317) 781-3037
Mailing address
3530 S SHELBY ST, INDIANAPOLIS, IN 46227-3269
(317) 784-3066
(317) 781-3037
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
05/31/2024
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