Organization
HOOSIER CARE III, INC.
Active
Other names
Churchman Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN REID (ADMINISTRATOR)
(302) 998-6900
Entity
Organization
Contact information
Practice address
4949 OGLETOWN STANTON RD, NEWARK, DE 19713-2068
(302) 998-6900
(302) 998-4214
Mailing address
4949 OGLETOWN STANTON RD, NEWARK, DE 19713-2068
(302) 998-6900
(302) 998-4214
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
1997116498
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ET86032W
—
NY
Enumeration date
04/24/2012
Last updated
04/24/2012
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