Organization
HEALTHCARE CENTERS OF INDIANA, LLC
Active
Other names
the Waters of Clifty Falls
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOY A FELDMAN (VICE PRESIDENT)
(716) 805-1474
Entity
Organization
Contact information
Practice address
950 CROSS AVE, MADISON, IN 47250-2002
(812) 273-4640
(812) 273-2925
Mailing address
300 GLEED AVE, EAST AURORA, NY 14052-2983
(716) 652-2820
(171) 652-2296
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05000116-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266330B
—
IN
Enumeration date
05/03/2007
Last updated
03/17/2009
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