Organization
JOHNSON MEMORIAL HOSPITAL.
Active
Other names
Miller's Merry Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J BERKHOUSE (CFO)
(317) 346-7934
Entity
Organization
Contact information
Practice address
220 E DUNN ROAD, NEW CARLISLE, IN 46552
(574) 654-7244
(574) 654-8283
Mailing address
PO BOX 4377, 1690 S COUNTY FARM ROAD, WARSAW, IN 46581-4377
(574) 267-7211
(574) 267-4908
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-000527-1
IN
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267110A
—
IN
Enumeration date
07/26/2006
Last updated
01/27/2022
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