Organization
WOODLAWN HOSPITAL
Active
Other names
Oak Grove Christian Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALLEY (PRESIDENT/CEO)
(574) 223-3141
Entity
Organization
Contact information
Practice address
221 W DIVISION ST, DEMOTTE, IN 46310-9566
(219) 987-7005
(219) 987-7401
Mailing address
221 W DIVISION ST, DEMOTTE, IN 46310-9566
(219) 987-7005
(219) 987-7401
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16-010823-1
IN
Other
Enumeration date
12/06/2005
Last updated
06/28/2016
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