Organization
RIVERVIEW HOSPITAL
Active
Other names
Englewood Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY OTT (PRESIDENT)
(765) 664-5400
Entity
Organization
Contact information
Practice address
2237 ENGLE RD, FORT WAYNE, IN 46809-1404
(260) 747-2353
(260) 747-6368
Mailing address
2237 ENGLE RD, FORT WAYNE, IN 46809-1404
(260) 747-2353
(260) 747-6368
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266110C
—
IN
Enumeration date
08/23/2006
Last updated
09/25/2012
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