Organization
BLOOMFIELD SENIOR LIVING OF GLEN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT KANTOR (PRESIDENT)
(317) 891-1508
Entity
Organization
Contact information
Practice address
2250 HARVEST MOON DR, INDIANAPOLIS, IN 46229-4970
(317) 891-1508
Mailing address
2250 HARVEST MOON DR, INDIANAPOLIS, IN 46229-4970
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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