Organization
HERITAGE HOUSE OF GREENSBURG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUANN BLAKE (ADMINISTRATOR)
(812) 663-7543
Entity
Organization
Contact information
Practice address
410 PARK RD, GREENSBURG, IN 47240-1953
(812) 663-7543
(812) 662-6800
Mailing address
410 PARK RD, GREENSBURG, IN 47240-1953
(812) 663-7543
(812) 662-6800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
060001171
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266460
—
IN
Enumeration date
08/20/2006
Last updated
01/20/2009
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