Organization
HOLY CROSS VILLAGE AT NOTRE DAME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK MUELLER (CHIEF OPERATING OFFICER)
(574) 287-1838
Entity
Organization
Contact information
Practice address
54515 STATE ROAD 933, NOTRE DAME, IN 46556
(574) 287-1838
(574) 289-7277
Mailing address
54515 STATE ROAD 933, P.O. BOX 706, NOTRE DAME, IN 46556
(574) 287-1838
(574) 289-7277
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-002668-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200325990
—
IN
Enumeration date
06/13/2006
Last updated
02/04/2014
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