Organization
THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY
Active
Other names
Autumn Ridge Rehabilitation Centre
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE VAN CAMP CPA (CFO OF ASC)
(317) 788-2500
Entity
Organization
Contact information
Practice address
600 WASHINGTON ST, WABASH, IN 46992
(260) 563-8402
(260) 563-4688
Mailing address
600 WASHINGTON ST, WABASH, IN 46992-1974
(260) 563-8402
(260) 563-4688
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12-000081-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100289570B
—
IN
Enumeration date
08/15/2007
Last updated
09/25/2020
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