Organization
SWISS VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER D YOUNG (CONTROLLER)
(260) 589-3173
Entity
Organization
Contact information
Practice address
1350 W MAIN ST, BERNE, IN 46711-1741
(260) 589-3173
(260) 589-8369
Mailing address
1350 W MAIN ST, BERNE, IN 46711-1741
(260) 589-3173
(260) 589-8369
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
120002801
IN
311500000X
Alzheimer Center (Dementia Center)
120002801
IN
311Z00000X
Custodial Care Facility
120002801
IN
313M00000X
Nursing Facility/Intermediate Care Facility
120002801
IN
314000000X
Skilled Nursing Facility
Primary
120002801
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100274540A
—
IN
Enumeration date
07/22/2005
Last updated
08/09/2012
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