Organization
MAJOR HOSPITAL
Active
Other names
Saint Anthony Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HORNER (PRESIDENT & CEO)
(317) 398-5252
Entity
Organization
Contact information
Practice address
1205 N 14TH ST, LAFAYETTE, IN 47904-2024
(765) 423-4861
(765) 742-8790
Mailing address
1205 N 14TH ST, LAFAYETTE, IN 47904-2024
(765) 423-4861
(765) 742-8790
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050005351
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267250A
—
IN
Enumeration date
09/27/2005
Last updated
01/26/2015
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