Organization
WOODLAWN HOSPITAL
Active
Other names
Peabody Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ALLEY (PRESIDENT/CEO)
(574) 223-3141
Entity
Organization
Contact information
Practice address
400 W 7TH ST, N MANCHESTER, IN 46962-1199
(260) 982-8616
(260) 982-8657
Mailing address
400 W 7TH ST, N MANCHESTER, IN 46962-1199
(260) 982-8616
(260) 982-8657
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050004851
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291190A
—
IN
Enumeration date
01/10/2006
Last updated
06/02/2015
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