NPI 1528821279

Csl White River LLC

Organisation Assisted Living Facility Greenwood, IN

Practice location

Address: 3177 Meridian Parke Dr, Greenwood, IN 46142-9629
Phone: (317) 882-5455
Mailing address: 14755 Preston Rd STE 810, Dallas, TX 75254-6815

Authorised official

Name: Dawn Mount
Title: Vp Operations
Phone: (972) 308-8338

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1528821279
Entity type: Organization
NPI issued: 5 Feb 2024
Record last updated: 5 Feb 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.