Organization
HENDRICKS COUNTY HOSPITAL
Active
Other names
Life Care Center of Michigan City
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P. SPEER (PRESIDENT AND CEO)
(317) 745-4451
Entity
Organization
Contact information
Practice address
802 E US HIGHWAY 20, MICHIGAN CITY, IN 46360-7424
(219) 872-7251
(219) 873-0387
Mailing address
3001 KEITH ST NW, CLEVELAND, TN 37312-3713
(423) 473-5751
(423) 339-8342
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050002361
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100287700
—
IN
Enumeration date
05/27/2006
Last updated
05/20/2019
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