NPI 1346062353
2339 South Sr 135 Tenant LLC
Practice location
- Address
- 2339 South State Street Road 135, Greenwood, IN 46143
- Phone
- (317) 371-4803
- Fax
- (317) 535-0425
- Mailing address
- 200 E Court St STE 400, Kankakee, IL 60901-3848
Authorised official
- Name
- Greg Echols
- Title
- Co-President of Its Management Agen
- Phone
- (779) 216-5849
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1346062353
- Entity type
- Organization
- NPI issued
- 30 Oct 2024
- Record last updated
- 30 Oct 2024
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.