Organization
MAINSTREET SENIOR II, LLC
Active
Other names
Grandview Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT E GROGG (CHIEF OPERATING OFFICER)
(317) 420-0205
Entity
Organization
Contact information
Practice address
1959 E COLUMBUS ST, MARTINSVILLE, IN 46151-1857
(765) 342-7114
Mailing address
1959 E COLUMBUS ST, MARTINSVILLE, IN 46151-1857
(765) 342-7114
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
IN
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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