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DECATUR COUNTY MEMORIAL HOSPITAL

Alzheimer Center

South Bend, Indiana

Provider NPI: 1164599304

Organization Information:
Organization Name:  DECATUR COUNTY MEMORIAL HOSPITAL


Practice Location:
18325 BAILEY AVE  SOUTH BEND, IN 46637 US
Tel: 574-272-2602  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
IN11-004732-1
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
IN14003759
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IN15-0047321-1

Other Provider Identifiers:

IssuerNumberStateType
200808300AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS IN - Page 1



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