Healthcare Provider Details

I. General information

NPI: 1194806281
Provider Name (Legal Business Name): DLR INVESTMENTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 04/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 WHITLATCH WAY
MILAN IN
47031-8343
US

IV. Provider business mailing address

1200 WHITLATCH WAY
MILAN IN
47031-8343
US

V. Phone/Fax

Practice location:
  • Phone: 812-654-2231
  • Fax: 812-654-2240
Mailing address:
  • Phone: 812-654-2231
  • Fax: 812-654-2240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number06-000420-1
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number06-000420-1
License Number StateIN

VIII. Authorized Official

Name: TRINA M JOHNSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 812-654-2231