Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
ManorCare Health Services-Summer Trace, Majestic Care of Carmel
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGG A. MALOTT (CFO)
(574) 946-2100
Entity
Organization
Contact information
Practice address
12999 N PENNSYLVANIA ST, CARMEL, IN 46032-5477
(317) 848-2448
(317) 848-5990
Mailing address
12999 N. PENNSYLVANIA ST., CARMEL, IN 46032-5477
(317) 848-2448
(317) 848-5990
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
06-001149-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200145500
—
IN
Enumeration date
06/03/2006
Last updated
03/19/2022
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