Organization
DYCORA TRANSITIONAL HEALTH - BLOOMINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(812) 332-4437
Entity
Organization
Contact information
Practice address
155 E BURKS DR, BLOOMINGTON, IN 47401-8459
(812) 332-4437
Mailing address
155 E BURKS DR, BLOOMINGTON, IN 47401-8459
(812) 332-4437
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
11/23/2016
Last updated
01/24/2018
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