Organization
2339 SOUTH SR 135 TENANT LLC
Active
Other names
Grand Victorian of Greenwood
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG ECHOLS (CO-PRESIDENT OF ITS MANAGEMENT AGEN)
(779) 216-5849
Entity
Organization
Contact information
Practice address
2339 SOUTH STATE STREET ROAD 135, GREENWOOD, IN 46143
(317) 371-4803
(317) 535-0425
Mailing address
200 E COURT ST STE 400, KANKAKEE, IL 60901-3848
(815) 935-1992
(815) 935-8380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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