# R&L SUPPORTIVE LIVING CORP.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164852505
- **Authorized official:** RAMONA HERRON (PRESIDENT)
- **Authorized official phone:** (219) 939-7556

## Contact information

- **Practice address:** 3754 JACKSON ST, GARY, IN 46408-2226
- **Practice address phone:** (219) 939-7556
- **Mailing address:** 3754 JACKSON ST, GARY, IN 46408-2226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 33-2340044 | IN | Yes |

## Other

- **Enumeration date:** 11/21/2013
- **Last updated:** 11/21/2013