Southlake Tricity Rba
Southlake Tricity Rba is a Custodial Care Facility in Lake Station, Indiana. Licensed in Indiana. Registered with an NPI since 2007.
- Licensed in
- IN
- In the registry since
- 2007
Practice location Address checks out
2075 Ripley StLake Station, IN 46405-1161
Phone: (219) 962-9437
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Custodial Care Facility (primary) | Taxonomy 311Z00000X (IN) |
|---|
Record details
| NPI number | 1972637171 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Krumwied — Ceo · (219) 392-6010 |
| Other names | Lake Park Residential Care |
| NPI enumerated | March 16, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 2075 Ripley St, Lake Station, IN 46405-1161 |