Organization
HCR MANOR CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN FLINT (DOR)
(317) 881-9164
Entity
Organization
Contact information
Practice address
5121 S BANCROFT ST, INDIANAPOLIS, IN 46237-1942
(317) 847-7570
Mailing address
5121 BANCROFT ST, INDIANAPOLIS, IN 46237
(317) 847-7570
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
06003406A
IN
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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