Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Parkview Haven
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MALOTT (CFO)
(574) 946-2103
Entity
Organization
Contact information
Practice address
101 CONSTITUTION DR, FRANCESVILLE, IN 47946-8316
(219) 567-9149
(219) 567-2646
Mailing address
616 E 13TH ST, WINAMAC, IN 46996-1117
(574) 946-2103
(574) 946-2129
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267280
—
IN
Enumeration date
11/01/2012
Last updated
01/22/2016
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