NPI 1801064910

Mainstreet Senior II, LLC

Organisation Skilled Nursing Facility Martinsville, IN

Practice location

Address: 1959 E Columbus St, Martinsville, IN 46151-1857
Phone: (765) 342-7114

Authorised official

Name: Vincent E Grogg
Title: Chief Operating Officer
Phone: (317) 420-0205

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X

Other Skilled Nursing Facility providers in Indiana →

Registry record

NPI: 1801064910
Entity type: Organization
NPI issued: 12 Feb 2008
Record last updated: 12 Feb 2008

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.