Organization
HANCOCK REGIONAL HOSPITAL
Active
Other names
Great Lakes Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LONG (PRESIDENT/CEO)
(317) 462-5544
Entity
Organization
Contact information
Practice address
2300 GREAT LAKES DR, DYER, IN 46311-1917
(219) 322-3555
(219) 322-2292
Mailing address
2300 GREAT LAKES DR, DYER, IN 46311-1917
(219) 322-3555
(219) 322-2292
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266720C
—
IN
Enumeration date
07/15/2013
Last updated
10/04/2022
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