Organization
SUGAR GROVE SENIOR LIVING, LLC
Active
Other names
Sugar Grove Assisted Living, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LACHELE RAE HENKLE WEAVER HFA, MBA (DIRECTOR OF OPERATIONS)
(317) 839-7900
Entity
Organization
Contact information
Practice address
5865 SUGAR LN, PLAINFIELD, IN 46168-8322
(317) 839-7900
(317) 839-7985
Mailing address
5865 SUGAR LN, PLAINFIELD, IN 46168-8322
(317) 839-7900
(317) 839-7985
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
11-012394-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201010030
—
IN
Enumeration date
03/31/2011
Last updated
03/31/2011
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