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Organization

MAGNOLIA HEALTH SYSTEM IX, INC.

Active
Other names
Summit Place West
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY DEAN PAINO (ADMINISTRATOR)
(317) 244-2600
Entity
Organization

Contact information

Practice address
55 MISSION DR, INDIANAPOLIS, IN 46214-5907
(317) 244-2600
(317) 244-3771
Mailing address
9455 DELEGATES ROW, INDIANAPOLIS, IN 46240-3805
(317) 818-1240
(317) 818-1430

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
080118401
IN

Other

Enumeration date
12/29/2008
Last updated
12/29/2008
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