Gahc3 Laporte in Alf Trs Sub, LLC

NPI #1043690787 in La Porte, Indiana

Provider Information

NPI Number
1043690787
Entity Type
Organization
Organization Name
Gahc3 Laporte in Alf Trs Sub, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 8, 2015
Last Updated
Jun 8, 2015

Practice Location

Address
2002 ANDREW AVE
State
Indiana
ZIP Code
46350-6563
Phone
(317) 324-9564

Authorized Official

Name
DANNY PROSKY
Title
AUTHORIZED REPRESENTATIVE
Phone
(949) 270-9200

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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