Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Sacred Heart Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANE WHEELER CPA (CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
515 N MAIN ST, AVILLA, IN 46710-9601
(260) 987-2841
(260) 897-3724
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3852
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290810
—
IN
Enumeration date
09/23/2005
Last updated
11/25/2020
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