Organization
MIDDLETOWN HEALTHCARE MANAGEMENT INC
Active
Other names
middletown nursing center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA ELLEN SPAUGH ADMIN/RN (ADMINISTRATOR)
(765) 354-2223
Entity
Organization
Contact information
Practice address
131 S 10TH ST, MIDDLETOWN, IN 47356-9772
(765) 354-2223
(765) 354-9066
Mailing address
131 S 10TH ST, MIDDLETOWN, IN 47356-9772
(765) 354-2223
(765) 354-9066
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4712
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000098058
ANTHEM
IN
05
—
100289600A
—
IN
Enumeration date
10/06/2005
Last updated
12/28/2009
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