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1205216942
GAHC3 MISHAWAKA IN ALF TRS SUB, LLC
MISHAWAKA, IN
NPI
1205216942
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Entity Type
Organization
Authorized Contact
DANNY PROSKY
Authorized Representative
949-270-9200
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2015-06-08
Last Update Date
2015-06-08
Business Address
GAHC3 MISHAWAKA IN ALF TRS SUB, LLC
530 TANGLEWOOD LN
MISHAWAKA, IN 46545-2627
Phone number: 317-324-9563
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Mailing Address
GAHC3 MISHAWAKA IN ALF TRS SUB, LLC
530 TANGLEWOOD LN
MISHAWAKA, IN 46545-2627
Phone number: 317-324-9563
Copy
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