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Organization

FIVE STAR QUALITY CARE-IN LLC

Active
Other names
Five Star Residences of Clearwater
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY C. LEER (EXEC. V.P., CFO, TREASURER & CEO)
(617) 796-8387
Entity
Organization

Contact information

Practice address
4519 E 82ND ST, INDIANAPOLIS, IN 46250-4241
(317) 849-2244
(317) 849-6625
Mailing address
4519 E 82ND ST, INDIANAPOLIS, IN 46250-4241
(317) 849-2244
(317) 849-6625

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
06/06/2022
Last updated
06/06/2022
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