Organization
DYCORA TRANSITIONAL HEALTH - KOKOMO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HAWKINS (EXECUTIVE)
(765) 452-5491
Entity
Organization
Contact information
Practice address
2905 W SYCAMORE ST, KOKOMO, IN 46901-4078
(765) 452-5491
Mailing address
2905 W SYCAMORE ST, KOKOMO, IN 46901-4078
(765) 452-5491
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
11/30/2016
Last updated
01/24/2018
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