Organization
KEYSTONE NORTH LIBERTY, LLC
Active
Other names
Keystone Place at Forevergreen
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA L ARMSTRONG (GENERAL COUNSEL)
(317) 409-9252
Entity
Organization
Contact information
Practice address
1275 W FOREVERGREEN RD, NORTH LIBERTY, IA 52317-8533
(319) 459-1964
(319) 626-2661
Mailing address
3965 AIRPORT DR, INDIANAPOLIS, IN 46254-5845
(317) 409-9252
(317) 863-1116
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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