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Organization

MERRILLVILLE 7900 OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY HESS (CONTROLLER)
(904) 534-9077
Entity
Organization

Contact information

Practice address
7900 RHODE ISLAND ST, MERRILLVILLE, IN 46410-5666
(219) 525-4123
Mailing address
PO BOX 3295, PONTE VEDRA BEACH, FL 32004-3295
(904) 534-9077

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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