Organization
MAJOR HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN HORNER (CHIEF EXECUTIVE OFFICER)
(317) 392-3211
Entity
Organization
Contact information
Practice address
601 SHEFFIELD AVE, DYER, IN 46311-1167
(219) 322-2273
(219) 322-9212
Mailing address
601 SHEFFIELD AVE, DYER, IN 46311-1167
(219) 322-2273
(219) 322-9212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000125-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266740B
—
IN
Enumeration date
03/22/2007
Last updated
09/03/2013
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