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SOUTHLAKE TRICITY RBA

Custodial Care Facility

Lake Station, Indiana

Provider NPI: 1972637171

Organization Information:
Organization Name:  SOUTHLAKE TRICITY RBA


Practice Location:
2075 RIPLEY ST  LAKE STATION, IN 46405 US
Tel: 219-962-9437  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311Z00000XNursing & Custodial Care Facilities
Custodial Care Facility
IN





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