Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Brookside Care Strategies
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG MALOTT (DIRECTOR OF BUSINESS DEVELOPMENT)
(574) 946-2103
Entity
Organization
Contact information
Practice address
505 NORTH GAVIN STREET, MUNCIE, IN 47303
(765) 289-1915
(765) 289-6435
Mailing address
402 W MAIN ST, GREENWOOD, IN 46142-3115
(574) 200-9706
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
07-000311-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100285520
—
IN
Enumeration date
05/03/2007
Last updated
01/03/2019
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