Organization
HENRY COUNTY MEMORIAL HOSPITAL
Active
Other names
Hickory Creek at Kendallville
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN RING (PRESIDENT/CEO)
(765) 521-1515
Entity
Organization
Contact information
Practice address
1433 S MAIN ST, KENDALLVILLE, IN 46755-2104
(260) 347-3612
(260) 349-0336
Mailing address
6081 E. 82ND ST., SUITE 120, INDIANAPOLIS, IN 46250-1562
(317) 570-0266
(317) 570-0488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000402-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100288120
—
IN
Enumeration date
07/02/2006
Last updated
08/17/2022
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