Cedar Creek Retirement Home, Inc.

NPI 1023003118 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1023003118
Enumeration Date 09/14/2005
Last Updated 09/16/2015
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name DANE DANE
Position CFO/TREASURER
Phone (260) 627-2191
Fax (260) 627-2881
Practice Location
14409 SUNRISE COURT
LEO IN, 46765-9515, US
Phone (260) 627-2191
Fax (260) 627-2881
Business Location
PO BOX 151
1100 MERCER AVENUE
DECATUR IN, 46733-2303, US
Phone (260) 627-2191
Fax (260) 627-2881
Toxanomy
Taxonomy Code 313M00000X
License State
License Number
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According to our database, Cedar Creek Retirement Home, Inc. NPI is 1023003118, taxonomy code is 313M00000X Cedar Creek Retirement Home, Inc. physically located at 14409 Sunrise Court, Leo IN, 46765-9515. NPI Number 1033115704 has the healthcare provider type.

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1023003118 NPI number is provided on an as is basis without warranty of any kind. 1023003118 is maintained by the National Plan & Provider Enumeration System. The contents of Cedar Creek Retirement Home, Inc. are for informational purposes only.