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Organization

HANCOCK REGIONAL HOSPITAL

Active
Other names
Otterbein Franklin SeniorLife Comm Res & Comp Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEITH B. VAN DEMAN (EXECUTIVE DIRECTOR)
(317) 736-7185
Entity
Organization

Contact information

Practice address
1070 W JEFFERSON ST, FRANKLIN, IN 46131-2179
(317) 736-7185
(317) 736-1151
Mailing address
1070 W JEFFERSON ST, FRANKLIN, IN 46131-2179
(317) 736-7185

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
05-001127-1
IN
314000000X
Skilled Nursing Facility
Primary
155771
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05-001127-1
STATE LICENSE NUMBER
IN
05
200247220A
IN
Enumeration date
07/15/2006
Last updated
11/21/2017
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