Organization
WOODLAWN HOSPITAL
Active
Other names
Greencroft Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ALLEY (PRESIDENT/CEO)
(574) 223-3141
Entity
Organization
Contact information
Practice address
1225 GREENCROFT DR, GOSHEN, IN 46526-5102
(574) 537-4000
Mailing address
PO BOX 819, GOSHEN, IN 46527-0819
(574) 537-4000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000112-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288710A
—
IN
Enumeration date
05/24/2005
Last updated
01/27/2016
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