Organization
FIVE STAR QUALITY CARE-IN LLC
Active
Parent organization
FIVE STAR QUALITY CARE-IN LLC
Other names
Meadowood Health Pavilion
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR QUALITY CARE-IN LLC
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
2455 TAMARACK TRAIL, BLOOMINGTON, IN 47408-1294
(812) 336-7060
(812) 333-8917
Mailing address
2455 TAMARACK TRAIL, BLOOMINGTON, IN 47408-1294
(812) 336-7060
(812) 333-8917
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
03/28/2019
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