Park Place Christian Community of St. John, Inc.
NPI #1306207386 in Saint John, Indiana
Provider Information
- NPI Number
- 1306207386
- Entity Type
- Organization
- Organization Name
- Park Place Christian Community of St. John, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Mar 17, 2016
- Last Updated
- Mar 17, 2016
Practice Location
- Address
- 10865 MAPLE LN
- Address 2
- SUITE C
- City
- Saint John
- State
- Indiana
- ZIP Code
- 46373-8513
- Phone
- (219) 525-4658
Authorized Official
- Name
- MR. RICHARD LEE NOLDEN
- Title
- VP OF HEALTHCARE STRATEGY
- Phone
- (708) 342-8115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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