Organization
CONTINUE LIVING SENIOR CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA L. OKODUWA LPN (OWNER)
(219) 902-5384
Entity
Organization
Contact information
Practice address
1475 W 20TH PL, GARY, IN 46407-2411
(219) 902-5384
Mailing address
1475 W 20TH PL, GARY, IN 46407-2411
(219) 902-5384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27046267A
IN
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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