Organization
MAGNOLIA HEALTH SYSTEMS
Active
Other names
HANOVER NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R MUELLER (A/R MANAGER)
(317) 818-1240
Entity
Organization
Contact information
Practice address
410 W LAGRANGE RD, HANOVER, IN 47243-9439
(812) 866-2625
Mailing address
9480 PRIORITY WAY WEST DR, INDIANAPOLIS, IN 46240-1470
(317) 818-1240
(317) 818-1022
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
16-0001151-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200959350A
—
IN
Enumeration date
02/03/2017
Last updated
02/03/2017
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