Organization

11755 N Michigan Tenant Llc

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

Legal Business Name

11755 N Michigan Tenant Llc

NPI Number

1639991276

NPI Type

Organization

Enumeration Date

10/25/2024

Specialties

(Taxonomies)

Code

310400000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

200 E COURT ST STE 400
11755 N MICHIGAN RD

City

Kankakee
Zionsville

State

IL
IN

Postal Code

60901-3848
46077-9325

Country

US
US

Telephone Number

(815) 935-1992
(317) 873-6300

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 10/25/2024

Provider Address

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