Organization
CSL RIVERBEND IN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MOUNT (VP OF OPERATIONS)
(972) 308-8338
Entity
Organization
Contact information
Practice address
2715 CHARLESTOWN PIKE, JEFFERSONVILLE, IN 47130-8163
(812) 280-0965
Mailing address
14755 PRESTON RD STE 810, DALLAS, TX 75254-6815
(972) 770-5600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201038030
—
IN
Enumeration date
07/26/2012
Last updated
03/21/2024
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