Organization
PARAMOUNT OF INDIANAPOLIS, LLC
Active
Other names
Cambridge Manor Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL PAUL TURNER SR. (VICE PRESIDENT OF FINANCE)
(520) 254-4949
Entity
Organization
Contact information
Practice address
8530 TOWNSHIP LINE RD, INDIANAPOLIS, IN 46260-1927
(317) 876-9955
Mailing address
350 EVERGREEN RD, SUITE 3, LOUISVILLE, KY 40243-1010
(502) 254-4949
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
05-000195-1
IN
332BN1400X
Nursing Facility Supplies (DME)
100267690B
IN
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
100267690B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267690B
—
IN
Enumeration date
05/23/2006
Last updated
08/19/2011
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