Organization · Type 2 NPI
Witham Memorial Hospital
Pediatric Skilled Nursing Facility · Logansport, IN
Practice location
1555 Commerce Dr
Logansport, IN 46947-1555
Fax (574) 722-4638
Mailing address
9480 Priority Way West Dr
Indianapolis, IN 46240-1470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility | 314000000X | None listed |
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | 06 000466 1 (IN) |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
About NPI 1578630810
Witham Memorial Hospital's National Provider Identifier is 1578630810, issued on Nov 30, 2006. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Logansport, IN. The record was last updated on Jun 24, 2022.