in Evansville - Skilled Nursing Facility

- NPI 1215989496

is a Skilled Nursing Facility in Evansville, Indiana. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for is 1215989496. The last update date is .

's current location address is 30 E Chandler Ave, Evansville, Indiana. You can contact this provider via phone number 8124236019 and fax number 8124670736. The mailing address for is 30 E Chandler Ave, Evansville, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 30 E Chandler Ave, Evansville, Indiana
Phone Number 8124236019
Fax Number 8124670736
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1215989496
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 30 E Chandler Ave
City Evansville
State Indiana (IN)
Post Code 477131631
Phone Number 8124236019
Fax Number 8124670736

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 06-000152-1
Definition:
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
377173 IN ANTHEM INDIANA
1002 67510-B IN --

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