Organization
ADAMS COUNTY MEMORIAL HOSPITAL
Active
Other names
Holy Cross Rehabilitation and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KYLE SPRUNGER (ASSISTANT CFO)
(260) 724-2145
Entity
Organization
Contact information
Practice address
17475 DUGDALE DR, SOUTH BEND, IN 46635-1545
(219) 271-3990
(219) 271-3981
Mailing address
1100 MERCER AVE, DECATUR, IN 46733-2303
(260) 724-2145
(260) 728-3867
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
17-001201-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380860
—
IN
Enumeration date
10/06/2006
Last updated
12/19/2024
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