Organization

2339 South Sr 135 Tenant Llc

Assisted Living Facility in Greenwood, IN(View on Map)

Legal Business Name

2339 South Sr 135 Tenant Llc

NPI Number

1346062353

NPI Type

Organization

Enumeration Date

10/30/2024

Specialties

(Taxonomies)

Code

310400000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

200 E COURT ST STE 400
2339 SOUTH STATE STREET ROAD 135

City

Kankakee
Greenwood

State

IL
IN

Postal Code

60901-3848
46143

Country

US
US

Telephone Number

(815) 935-1992
(317) 371-4803

Authorized Official

Name

Mr. Greg Echols

Title or Position

CO-PRESIDENT OF ITS MANAGEMENT AGEN

Telephone Number

(779) 216-5849

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/30/2024

Provider Address

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