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Contact Information

MIKA RIDDLE
407 W WALNUT ST
VAN BUREN, IN46991
 Phone: 765-667-4950
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for

NPI Number 1366974404
Entity Organization
Organization subpart 1 Not specified
Enumeration date 03/29/2017
Last updated 03/29/2017 - About 9 years ago
Identifiers
IN License # 32003091A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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