Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Majestic Care of Avon, ManorCare Health Services - Prestwick
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG A. MALOTT (CFO)
(574) 946-2100
Entity
Organization
Contact information
Practice address
445 S COUNTY ROAD 525 E, AVON, IN 46123-8361
(317) 745-2522
(317) 745-2991
Mailing address
445 S COUNTY ROAD 525 E, AVON, IN 46123-8361
(317) 745-2522
(317) 745-2991
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000231-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267900
—
IN
Enumeration date
06/15/2006
Last updated
10/07/2021
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