MEDICARE: AMERICARE LIVING CENTER OF WABASH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1053311738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICARE LIVING CENTER OF WABASH

Provider Business Mailing Address
First Line	:	421 S WALNUT ST
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47305-2459
Country	:	US
Telephone Number	:	765-282-2889
Fax Number	:	765-281-5530

Provider Business Practice Location Address
First Line	:	600 WASHINGTON ST
Second Line	:
City	:	WABASH
State	:	IN
Zip	:	46992-1974
Country	:	US
Telephone Number	:	260-563-8402
Fax Number	:	260-563-4688

Authorized Official
Title or Position	:	CORPORATE A/R MANAGER
Name	:	MRS. DEENA K SANDEFUR
Credential	:
Telephone Number	:	765-282-2889

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/21/2022

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