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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