Prairie Village Care, LLC
NPI #1669543286 in Washington, Indiana
Provider Information
- NPI Number
- 1669543286
- Entity Type
- Organization
- Organization Name
- Prairie Village Care, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 13, 2006
- Last Updated
- Apr 1, 2008
Practice Location
- Address
- 801 S STATE ROAD 57
- City
- Washington
- State
- Indiana
- ZIP Code
- 47501-4373
- Phone
- (812) 254-4516
Authorized Official
- Name
- DONNA JO MAASSEN
- Title
- DIRECTOR OF COMPLIANCE
- Phone
- (414) 908-8119
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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