Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
The Lane House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN P SPEER (CEO)
(317) 745-3500
Entity
Organization
Contact information
Practice address
1000 LANE AVENUE, CRAWFORDSVILLE, IN 47933-1250
(765) 362-0007
(765) 362-4168
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060004621
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100275380
—
IN
Enumeration date
05/25/2006
Last updated
10/24/2019
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