NPI 1073805719

Alc Operating, LLC

Organisation Assisted Living Facility South Bend, IN

Practice location

Address: 4010 S Ironwood Dr, South Bend, IN 46614-2200
Phone: (574) 291-2222
Fax: (574) 231-9401
Mailing address: W140n8981 Lilly Rd, Menomonee Falls, WI 53051-2325

Authorised official

Name: Walter a Levonowich
Title: Vice President Controller
Phone: (262) 257-8888

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 004697 (IN)

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Registry record

NPI: 1073805719
Entity type: Organization
NPI issued: 13 May 2011
Record last updated: 13 May 2011

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.