Organization
HANCOCK REGIONAL HOSPITAL
Active
Other names
Wellbrooke of South Bend
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LONG (PRESIDENT & CEO)
(317) 462-5544
Entity
Organization
Contact information
Practice address
52565 SR 933, SOUTH BEND, IN 46637
(574) 247-7044
Mailing address
PO BOX 221648, LOUISVILLE, KY 40252-1648
(502) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201281730A
—
IN
Enumeration date
11/12/2013
Last updated
09/24/2015
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