Organization
SENIOR CARE OF KOKOMO, LLC DBA COMFORT KEEPERS #566
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE OAKLEY (OWNER)
(765) 868-9230
Entity
Organization
Contact information
Practice address
1511 W SYCAMORE ST STE A, KOKOMO, IN 46901-4230
(765) 868-9230
Mailing address
1511 W SYCAMORE ST STE A, KOKOMO, IN 46901-4230
(765) 868-9230
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200802120
—
IN
Enumeration date
05/05/2008
Last updated
05/05/2008
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