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Organization

INDIANA HEALTH AND REHABILITATION CENTERS

Active
Other names
Canterbury Gardens
Organization subpart
No

Provider details

NPI number
Authorized official
DONNA JO MAASSEN (DIRECTOR OF COMPLIANCE)
(414) 908-8119
Entity
Organization

Contact information

Practice address
2827 NORTHGATE BLVD, FORT WAYNE, IN 46835-2903
(260) 492-1400
(260) 492-1699
Mailing address
111 W MICHIGAN ST, MILWAUKEE, WI 53203-2903
(414) 908-8119
(414) 908-7105

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
IN

Other

Enumeration date
12/29/2006
Last updated
04/01/2008
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