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Mr. Jack J Hughes III, COTA
Nursing Facility/Intermediate Care Facility in Peru, Indiana
NPI 1528309267

Jack J Hughes III is a Nursing Facility/Intermediate Care Facility based in Huntington, IN. Jack J Hughes III practices in Peru, IN and has the professional credentials of COTA. The NPI Number for Jack J Hughes III is 1528309267 and holds a License No. 32002213A (Indiana).

The current practice location address for Jack J Hughes III is 1850 W Matador St, Peru, IN and can be reached out via phone at 765-689-5000.

Location: 1850 W Matador St, Peru, IN, 46750-8984
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528309267
Provider Name
Jack J Hughes III
Credential
COTA
Provider Entity Type
Individual
Gender
Male
Address
1850 W Matador St, Peru, IN, 46750-8984
Phone Number
765-689-5000
Fax Number
Provider Enumeration Date
03/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1850 W Matador St
City
Peru
State
Indiana
Zip
46970-3711
Phone Number
765-689-5000
Fax Number
person
Provider Business Mailing Address Details
Address
1850 W Matador St
City
Peru
State
Indiana
Zip
46970-3711
Phone Number
765-689-5000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
32002213A (Indiana)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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