WOODLAWN HOSPITAL
Assisted Living Facility
North Manchester, Indiana
Provider NPI: 1073557617
Organization Information:Organization Name: WOODLAWN HOSPITAL
Practice Location:
2201 EAST ST NORTH MANCHESTER, IN 46962 US
Tel: 260-982-2118 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2201 EAST ST NORTH MANCHESTER, IN 46962 US
Tel: 260-982-2118 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IN | 06-000448-1 |
N | 311500000X | Nursing & Custodial Care Facilities Alzheimer Center (Dementia Center) | IN | 06-000448-1 |
N | 313M00000X | Nursing & Custodial Care Facilities Nursing Facility/Intermediate Care Facility | IN | 06-000448-1 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IN | 06-000448-1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100275140A | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin