Organization
INDIGO ASSISTED LIVING, LLC
Active
Other names
Indigo Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
SATHEESH KUMAAR SOUNDARARAJAN (CEO AND ADMINISTRATOR)
(602) 410-6098
Entity
Organization
Contact information
Practice address
205 GILES ST, OMAHA, TX 75571-4013
(903) 884-7070
Mailing address
205 GILES ST, OMAHA, TX 75571-4013
(903) 884-7070
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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