Organization
WOODLAWN HOSPITAL
Active
Parent organization
WOODLAWN HOSPITAL
Other names
Catherine Kasper Life Center Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODLAWN HOSPITAL
Authorized official
JOHN KRAFT (CHIEF FINANCIAL OFFICER)
(574) 224-1118
Entity
Organization
Contact information
Practice address
9601 UNION RD, PLYMOUTH, IN 46563
(574) 935-1724
(574) 935-1710
Mailing address
PO BOX 1, DONALDSON, IN 46513-0001
(574) 935-1724
(574) 935-1710
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
200382090A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200382090A
—
IN
Enumeration date
11/14/2005
Last updated
08/06/2018
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