NPI 1124025457
Premier Providers INC Dba Bradner Village Health Care Center
Practice location
- Address
- 505 N Bradner Ave, Marion, IN 46952-2449
- Phone
- (765) 662-3981
- Fax
- (765) 662-3981
Authorised official
- Name
- Eric Walts
- Title
- Ceo
- Phone
- (765) 662-3981
Registered specialties
Nursing Facility/Intermediate Care Facility
Primary
Registry record
- NPI
- 1124025457
- Entity type
- Organization
- NPI issued
- 1 Jul 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.