Organization · Type 2 NPI

Gumbo LLC

Skilled Nursing Facility · Mishawaka, IN

NPI number 1982000964 Active

Practice location

2618 River Ave
Mishawaka, IN 46544-1568

Call (269) 240-7881 Map

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X28188157A (IN)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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About NPI 1982000964

Gumbo LLC's National Provider Identifier is 1982000964, issued on Nov 18, 2014. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Mishawaka, IN. The record was last updated on Nov 18, 2014.