SOUTHLAKE TRICITY RBA

Custodial Care Facility · LAKE STATION, IN

Organization Active NPI 1972637171

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Custodial Care Facility311Z00000XIN

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.