Organization
WESLEYAN HOMES OF INDIANA, INC.
Active
Other names
SUMMERFIELD HEALTH CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LAWLOR (VICE PRESIDENT)
(203) 944-8285
Entity
Organization
Contact information
Practice address
34 S MAIN ST, CLOVERDALE, IN 46120-8531
(765) 795-4260
Mailing address
580 LONG HILL AVE, SHELTON, CT 06484-4803
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060004151
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291250
—
IN
Enumeration date
02/28/2007
Last updated
02/25/2013
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