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South Bend Assisted Living LLC

Assisted Living Facility in South Bend, IN. Organization (NPI-2).

NPI number1801014147
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1801014147
Entity type
Organization (NPI-2)
Legal business name
South Bend Assisted Living LLC
Organization subpart
No
Enumeration date
Apr 23, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility06-001148-1INYes

Other names

  • Dba Wood Ridge Assisted Living Community (Doing Business As)

Practice location

17650 Generations Dr
South Bend, IN 46635-1536

Phone 574-271-1151 · Fax 571-271-2812

Mailing address

17650 Generations Dr
South Bend, IN 46635-1536

Phone 574-271-1151 · Fax 571-271-2812

Authorized official

Judith Elaine Hoese
Administrator
5742711151

Is something wrong?

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