Organization
REAGAN PARK SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIM SCHMIDT (HEALTH FACILITY ADMINISTRATOR)
(317) 271-0100
Entity
Organization
Contact information
Practice address
1176 KINGWOOD DR, AVON, IN 46123-5501
(317) 271-0100
Mailing address
1176 KINGWOOD DR, AVON, IN 46123-5501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
140132642
IN
Other
Enumeration date
10/15/2014
Last updated
10/15/2014
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