Lodge Of The Wabash, Ltd

LBN: Lodge Of The Wabash, Ltd
Lodge Of The Wabash, Ltd is an health care organization with primary practice located at 723 E Ramsey Rd , Vincennes IN 47591-6128. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Lodge Of The Wabash, Ltd can be contacted via phone (812) 882-8787, or through Huginin, Cheryl via phone (812) 882-8787.

Contact Information

Primary practice address
723 E Ramsey Rd Vincennes IN 47591-6128
Phone: (812) 882-8787
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Huginin, Cheryl
Phone: (812) 882-8787

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 4823 Indiana

Profile Details

NPI number 1780894899
LBN Legal business name Lodge Of The Wabash, Ltd
DBA Doing business as
Authorized official Huginin, Cheryl
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Dec 14th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780894899 NPPES
Indiana MEDICAID 200157070A

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