Hickory Creek Healthcare Foundation, Inc.

NPI #1740214493 in Lebanon, Indiana

Provider Information

NPI Number
1740214493
Entity Type
Organization
Organization Name
Hickory Creek Healthcare Foundation, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 10, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1585 PERRY WORTH RD
State
Indiana
ZIP Code
46052-9635
Phone
(765) 482-6391

Authorized Official

Name
MR. GARY BRENT WAYMIRE
Title
VICE PRESIDENT OF OPERATIONS
Phone
(317) 570-0266

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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