R&l Supportive Living Corp.

NPI #1164852505 in Gary, Indiana

Provider Information

NPI Number
1164852505
Entity Type
Organization
Organization Name
R&l Supportive Living Corp.
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Nov 21, 2013
Last Updated
Nov 21, 2013

Practice Location

Address
3754 JACKSON ST
City
Gary
State
Indiana
ZIP Code
46408-2226
Phone
(219) 939-7556

Authorized Official

Name
RAMONA HERRON
Title
PRESIDENT
Phone
(219) 939-7556

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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