Organization
JOHNSON MEMORIAL HOSPITAL
Active
Other names
Miller's Health & Rehab by Miller's Merry Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN J BERKHOUSE (CFO)
(317) 346-7939
Entity
Organization
Contact information
Practice address
3530 MONROE STREET, LA PORTE, IN 46350
(219) 841-8020
(219) 325-3715
Mailing address
1125 W JEFFERSON ST, FRANKLIN, IN 46131-2140
(317) 736-3300
(574) 267-4908
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14-000194-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267790
—
IN
Enumeration date
07/15/2014
Last updated
01/27/2022
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