NPI 1285805275

Country Charm

Organisation Assisted Living Facility Greenwood, IN

Practice location

Address: 3177 Meridian Parke Dr, Greenwood, IN 46142-9629
Phone: (317) 882-5455
Fax: (317) 882-3606

Authorised official

Name: C Diederick van der Velde
Title: Owner
Phone: (317) 882-5455

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1285805275
Entity type: Organization
NPI issued: 18 Mar 2008
Record last updated: 18 Mar 2008

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.