HOOSIER ENTERPRISES II, INC.
Nursing Care, Pediatric
Shelbyville, Indiana
Provider NPI: 1801963053
Organization Information:Organization Name: HOOSIER ENTERPRISES II, INC.
Practice Location:
2325 S MILLER ST SHELBYVILLE, IN 46176 US
Tel: 317-392-3287 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:
2325 S MILLER ST SHELBYVILLE, IN 46176 US
Tel: 317-392-3287 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | IN | 10 000273 1 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100267870C | IN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin