Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Life Care Center of LaGrange
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SPEER (CEO)
(317) 745-3500
Entity
Organization
Contact information
Practice address
770 N 075 E, LAGRANGE, IN 46761-9359
(260) 463-7445
(260) 463-7282
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
040002351
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267740
—
IN
Enumeration date
05/27/2006
Last updated
11/21/2018
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