Organization
HERMITAGE MANOR, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMELA DEPREZ (OWNER)
(765) 521-4110
Entity
Organization
Contact information
Practice address
2311 S MILLER ST, SHELBYVILLE, IN 46176-9350
(317) 398-9777
Mailing address
1500 BROAD ST, NEW CASTLE, IN 47362-4228
(765) 521-4110
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
IL
Other
Enumeration date
05/10/2006
Last updated
08/22/2020
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