Country Charm

NPI #1285805275 in Greenwood, Indiana

Provider Information

NPI Number
1285805275
Entity Type
Organization
Organization Name
Country Charm
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 18, 2008
Last Updated
Mar 18, 2008

Practice Location

Address
3177 MERIDIAN PARKE DR
State
Indiana
ZIP Code
46142-9629
Phone
(317) 882-5455

Authorized Official

Name
MR. C DIEDERICK VAN DER VELDE
Title
OWNER
Phone
(317) 882-5455

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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