R&l Supportive Living Corp.

NPI 1164852505 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1164852505
Enumeration Date 11/21/2013
Last Updated 11/21/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RAMONA RAMONA
Position PRESIDENT
Phone (219) 939-7556
Fax
Practice Location
3754 JACKSON ST
GARY IN, 46408-2226, US
Phone (219) 939-7556
Fax
Business Location
3754 JACKSON ST
GARY IN, 46408-2226, US
Phone
Fax
Toxanomy
Taxonomy Code 311ZA0620X
License State Indiana
License Number 33-2340044
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According to our database, R&l Supportive Living Corp. NPI is 1164852505, taxonomy code is 311ZA0620X and license number is 33-2340044, license state is located at Indiana. R&l Supportive Living Corp. physically located at 3754 Jackson St, Gary IN, 46408-2226. NPI Number 1033115704 has the healthcare provider type.

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1164852505 NPI number is provided on an as is basis without warranty of any kind. 1164852505 is maintained by the National Plan & Provider Enumeration System. The contents of R&l Supportive Living Corp. are for informational purposes only.