Organization
KOKOMO BG OPCO LLC
Active
Other names
Kokomo Place
Organization subpart
No
Provider details
NPI number
Authorized official
PETER TARSNEY (AUTHORIZED SIGNATORY)
(312) 725-7000
Entity
Organization
Contact information
Practice address
3025 W SYCAMORE ST, KOKOMO, IN 46901-4176
(765) 456-1490
Mailing address
330 N WABASH AVE STE 3700, CHICAGO, IL 60611-7605
(312) 725-7000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/23/2016
Last updated
10/20/2016
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