St Paul Hermitage Home
NPI #1871605055 in Beech Grove, Indiana
Provider Information
- NPI Number
- 1871605055
- Entity Type
- Organization
- Organization Name
- St Paul Hermitage Home
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Aug 31, 2006
- Last Updated
- Jun 17, 2008
Practice Location
- Address
- 501 N 17TH AVENUE
- City
- Beech Grove
- State
- Indiana
- ZIP Code
- 46107
- Phone
- (317) 786-2261
Authorized Official
- Name
- MAUREEN THERESE COONEY
- Title
- BOOKKEEPER
- Phone
- (317) 786-2261
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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