| NPI | 1114308616 |
|---|---|
| Doing Business As | KEYSTONE PLACE AT LAVALLE FIELDS |
| Entity Type | Organization |
| Authorized Contact | BRAD WOOD Chief Operating Officer 317-280-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |