NPI 1073326021

Kokomo Place Assisted Living LLC

Organisation Assisted Living Facility Kokomo, IN

Practice location

Address: 3025 W Sycamore St Ofc, Kokomo, IN 46901-4177
Phone: (765) 456-1490
Mailing address: 5904 E State Blvd, Fort Wayne, IN 46815-7637

Authorised official

Name: Sherri Berghoff
Title: Ceo
Phone: (260) 740-3220

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1073326021
Entity type: Organization
NPI issued: 31 Jan 2025
Record last updated: 31 Jan 2025

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.