NPI 1164852505

R&l Supportive Living Corp.

Organisation Adult Care Home Facility Gary, IN

Practice location

Address: 3754 Jackson St, Gary, IN 46408-2226
Phone: (219) 939-7556

Authorised official

Name: Ramona Herron
Title: President
Phone: (219) 939-7556

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 33-2340044 (IN)

Other Custodial Care Facility providers in Indiana →

Registry record

NPI: 1164852505
Entity type: Organization
NPI issued: 21 Nov 2013
Record last updated: 21 Nov 2013

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.