NPI 1760937312
Kokomo Bg Opco LLC
Practice location
- Address
- 3025 W Sycamore St, Kokomo, IN 46901-4176
- Phone
- (765) 456-1490
- Mailing address
- 330 N Wabash Ave STE 3700, Chicago, IL 60611-7605
Authorised official
- Name
- Peter Tarsney
- Title
- Authorized Signatory
- Phone
- (312) 725-7000
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1760937312
- Entity type
- Organization
- NPI issued
- 23 Aug 2016
- Record last updated
- 20 Oct 2016
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.