Paul Hermitage Operator LLC
NPI #1396451597 in Beech Grove, Indiana
Provider Information
- NPI Number
- 1396451597
- Entity Type
- Organization
- Organization Name
- Paul Hermitage Operator LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PAUL HERMITAGE OPERATOR LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 31, 2023
- Last Updated
- Jan 31, 2023
Practice Location
- Address
- 501 N 17TH AVE
- City
- Beech Grove
- State
- Indiana
- ZIP Code
- 46107-1169
- Phone
- (317) 786-2261
Authorized Official
- Name
- DAVID CHEPLOWITZ
- Title
- MANAGER
- Phone
- (773) 272-2568
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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