Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
SIMMONS LOVING CARE HEALTH FACILITY
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A MALOTT (DIR. OF BUSINESS DEVELOPMENT)
(574) 946-2100
Entity
Organization
Contact information
Practice address
700 E 21ST AVE, GARY, IN 46407
(219) 882-2563
(219) 882-2616
Mailing address
700 E 21ST AVE, P.O. BOX 1678, GARY, IN 46407-2726
(219) 882-2563
(219) 882-2616
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
05-000368-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275220A
—
IN
Enumeration date
07/25/2006
Last updated
09/26/2018
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