Organization
MAJOR HOSPITAL
Active
Other names
HEALTHCARE CENTER AT WITTENBERG VILLAGE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HORNER (PRESIDENT & CEO)
(317) 421-2012
Entity
Organization
Contact information
Practice address
1200 LUTHER DR, CROWN POINT, IN 46307-5043
(219) 663-3860
(219) 661-8431
Mailing address
1200 LUTHER DR, CROWN POINT, IN 46307-5043
(219) 663-3860
(219) 661-8431
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0500005151
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100290820
—
IN
Enumeration date
09/29/2005
Last updated
12/07/2017
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