NPI 1063105567

Arches Mbt LLC

Organisation Assisted Living Facility Gary, IN

Practice location

Address: 4905 Melton Rd, Gary, IN 46403-2873
Phone: (219) 938-0124
Fax: (219) 939-3036
Mailing address: 4936 Champlain Cir, West Bloomfield, MI 48323-3527

Authorised official

Name: Michael Adam Wolf
Title: Owner
Phone: (248) 882-4030

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1063105567
Entity type: Organization
NPI issued: 31 May 2023
Record last updated: 31 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.