| NPI | 1548340920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA YVETT BIDDINGS Executive Director 219-886-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-05-23 |