Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
South Shore Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
(574) 946-2103
Entity
Organization
Contact information
Practice address
353 TYLER STREET, GARY, IN 46402-1149
(219) 886-7070
(219) 886-0810
Mailing address
353 TYLER STREET, GARY, IN 46402-1149
(219) 886-7070
(219) 886-0810
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
14-000369-1
IN
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275190
—
IN
05
—
100275190B
—
IN
Enumeration date
05/16/2006
Last updated
06/13/2024
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