Organization
MELROSE ASSISTED LIVING, LLC
Active
Other names
Melrose Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE M HEAD-BETHEL BS, RCA (EXECUTIVE DIRECTOR)
(812) 556-4440
Entity
Organization
Contact information
Practice address
7101 HIGHWAY 41 N, EVANSVILLE, IN 47725-1713
(812) 556-4440
(812) 867-5208
Mailing address
7101 HIGHWAY 41 N, EVANSVILLE, IN 47725-1713
(812) 556-4440
(812) 867-5208
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
240148661
RESIDENTIAL LICENSE
IN
05
—
300084154
—
IN
Enumeration date
05/31/2024
Last updated
05/31/2024
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