Organization
HICKORY CREEK HEALTHCARE FOUNDATION, INC.
Active
Other names
Hickory Creek at Lebanon
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BRENT WAYMIRE (VICE PRESIDENT OF OPERATIONS)
(317) 570-0266
Entity
Organization
Contact information
Practice address
1585 PERRY WORTH RD, LEBANON, IN 46052-9635
(765) 482-6391
(765) 483-2590
Mailing address
1585 PERRY WORTH RD, LEBANON, IN 46052-9635
(765) 482-6391
(765) 483-2590
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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