Organization
BLOOMFIELD SENIOR LIVING OF PARK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KANTOR (PRESIDENT)
(312) 854-7104
Entity
Organization
Contact information
Practice address
5045 W 52ND ST, INDIANAPOLIS, IN 46254-1705
(317) 293-2929
Mailing address
5045 W 52ND ST, INDIANAPOLIS, IN 46254-1705
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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