Bloomfield Senior Living Of Glen, LLC
Assisted Living Facility in Indianapolis, IN. Organization (NPI-2).
NPI number1962702241
StatusActive
Last updated in NPPESNov 2, 2010
Details
- NPI
- 1962702241
- Entity type
- Organization (NPI-2)
- Legal business name
- Bloomfield Senior Living Of Glen, LLC
- Organization subpart
- No
- Enumeration date
- Nov 2, 2010
- Last updated
- Nov 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | – | – | Yes |
Practice location
2250 Harvest Moon DrIndianapolis, IN 46229-4970
Phone 317-891-1508
Mailing address
2250 Harvest Moon DrIndianapolis, IN 46229-4970
Authorized official
Scott Kantor
President
3178911508
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