Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
The Waters of Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SPEER (CEO/PRESIDENT)
(317) 745-4451
Entity
Organization
Contact information
Practice address
1585 PERRY WORTH ROAD, LEBANON, IN 46052-9635
(765) 482-6391
(765) 483-2590
Mailing address
1585 PERRY WORTH ROAD, LEBANON, IN 46052-9635
(765) 482-6391
(765) 483-2590
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
04-000118-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290470
—
IN
Enumeration date
10/10/2005
Last updated
04/17/2018
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