Organization
R&L SUPPORTIVE LIVING CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA HERRON (PRESIDENT)
(219) 939-7556
Entity
Organization
Contact information
Practice address
3754 JACKSON ST, GARY, IN 46408-2226
(219) 939-7556
Mailing address
3754 JACKSON ST, GARY, IN 46408-2226
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
33-2340044
IN
Other
Enumeration date
11/21/2013
Last updated
11/21/2013
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