Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Life Care Center of Rochester
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P SPEER (CEO/PRESIDENT)
(317) 745-4451
Entity
Organization
Contact information
Practice address
827 W 13TH ST, ROCHESTER, IN 46975-2502
(574) 223-4331
(574) 223-4172
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050003251
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274300
—
IN
Enumeration date
05/26/2006
Last updated
07/22/2019
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