Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Manderley Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SPRUNGER CPA (ASSISTANT CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
806 S BUCKEYE STREET, OSGOOD, IN 47037-1332
(812) 689-4143
(812) 689-4150
Mailing address
1100 MERCER AVENUE, PO BOX 151, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050004931
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291300A
—
IN
05
—
200863700A
—
IN
Enumeration date
07/08/2005
Last updated
07/03/2023
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