Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Sanctuary at Saint Pauls
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANE WHEELER (CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
3602 S IRONWOOD DR, SOUTH BEND, IN 46614-2453
(574) 299-2250
(574) 291-0858
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3867
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
060001041
IN
314000000X
Skilled Nursing Facility
Primary
060001041
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266590A
—
IN
Enumeration date
08/31/2005
Last updated
02/06/2018
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