Organization
RPM INDIANAPOLIS, LLC
Active
Other names
Crown Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BLAIR MOSS MINTON RN (PRESIDENT)
(815) 573-5105
Entity
Organization
Contact information
Practice address
7960 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(815) 573-5105
Mailing address
7960 N SHADELAND AVE, INDIANAPOLIS, IN 46250-2041
(815) 573-5105
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
140133281
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140133281
—
IN
Enumeration date
09/18/2014
Last updated
09/18/2014
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