Organization
FOUR MILE COVE SENIOR LIVING, LLC
Active
Other names
Keystone Place at Four Mile Cove, Keystone Senior Management Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ARMSTRONG (GENERAL COUNSEL)
(317) 409-9252
Entity
Organization
Contact information
Practice address
1701 FOUR MILE COVE PKWY, CAPE CORAL, FL 33990-2404
(239) 677-3969
(239) 673-0501
Mailing address
3965 AIRPORT DR, INDIANAPOLIS, IN 46254-5845
(317) 409-9252
(317) 863-1116
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/08/2020
Last updated
09/08/2020
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