Lodge of the Wabash, Ltd

NPI #1780894899 in Vincennes, Indiana

Provider Information

NPI Number
1780894899
Entity Type
Organization
Organization Name
Lodge of the Wabash, Ltd
Primary Specialty
Skilled Nursing Facility
Enumeration Date
May 23, 2007
Last Updated
Dec 14, 2011

Practice Location

Address
723 E RAMSEY RD
State
Indiana
ZIP Code
47591-6128
Phone
(812) 882-8787

Authorized Official

Name
CHERYL HUGININ
Title
ADMINISTRATOR
Phone
(812) 882-8787

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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