Five Star Quality Care-In LLC

NPI #1285749754 in Bloomington, Indiana

Provider Information

NPI Number
1285749754
Entity Type
Organization
Organization Name
Five Star Quality Care-In LLC
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE STAR QUALITY CARE-IN LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Aug 21, 2006
Last Updated
Mar 28, 2019

Practice Location

Address
2455 TAMARACK TRAIL
State
Indiana
ZIP Code
47408-1294
Phone
(812) 336-7060

Authorized Official

Name
KATHERINE E POTTER
Title
PRESIDENT & CHIEF EXECUTIVE OFFICER
Phone
(617) 796-8387

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility
Skilled Nursing Facility

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