Organization
LOCKEFIELD VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LIDA HARRIS (CHIEF MEDICAL OFFICER)
(317) 639-6671
Entity
Organization
Contact information
Practice address
980 INDIANA AVE, INDIANAPOLIS, IN 46202-2915
(317) 269-0448
Mailing address
980 INDIANA AVE, INDIANAPOLIS, IN 46202-2915
(317) 269-0448
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
11/17/2005
Last updated
08/22/2020
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