Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
LAKEVIEW MANOR, Envive of Indianapolis
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SPRUNGER CPA (ASSISTANT CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
45 BEACHWAY DRIVE, INDIANAPOLIS, IN 46224-8501
(317) 243-3721
Mailing address
1100 MERCER AVENUE, DECATUR, IN 46733-2303
(260) 724-2145
(317) 818-1022
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
11-000032-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100273330
—
IN
Enumeration date
11/15/2006
Last updated
06/17/2022
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