Organization
INDIANA SENIOR HOUSING HEALTH CARE PROPERTIES, INC.
Active
Other names
Cedar Village Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES L WHITLATCH (CHAIR)
(812) 332-9295
Entity
Organization
Contact information
Practice address
5467 CEDAR VILLAGE DR, MASON, OH 45040-8693
(513) 754-3100
(513) 336-3174
Mailing address
2749 E COVENANTER DR, BLOOMINGTON, IN 47401-5454
(812) 332-2265
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2109N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000560
—
OH
Enumeration date
05/15/2018
Last updated
05/15/2018
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