APOSTOLIC CHRISTIAN RETIREMENT HOME, INC
Assisted Living Facility
Francesville, Indiana
Provider NPI: 1699710392
Organization Information:Organization Name: APOSTOLIC CHRISTIAN RETIREMENT HOME, INC
Practice Location:
101 CONSTITUTION DR FRANCESVILLE, IN 47946 US
Tel: 219-567-9149 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
101 CONSTITUTION DR FRANCESVILLE, IN 47946 US
Tel: 219-567-9149 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | IN | |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | IN |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BLUE CROSS/BLUE SHIELD | 000000389220 | IN | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin