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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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