Organization
EXCEPTIONAL LIVING CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISTY GERBER (REHAB DIRECTOR)
(260) 413-0731
Entity
Organization
Contact information
Practice address
701 S OAK ST, WINCHESTER, IN 47394-2229
(765) 584-2201
Mailing address
701 S OAK ST, WINCHESTER, IN 47394-2229
(765) 584-2201
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05011978A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05011978A
—
IN
Enumeration date
03/02/2017
Last updated
03/02/2017
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