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STARLIGHT CARE FACILITIES, INC

Alzheimer Center

South Bend, Indiana

Provider NPI: 1295064525

Organization Information:
Organization Name:  STARLIGHT CARE FACILITIES, INC


Practice Location:
915 SO. 27TH STREET  SOUTH BEND, IN 46615 US
Tel: 574-204-7972  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
IN12-012199-1
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
IN080047321

Other Provider Identifiers:

IssuerNumberStateType
200989880AIN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS IN - Page 1



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