COUNTRY CHARM VILLAGE LLC is an assisted living facility in Indianapolis, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. COUNTRY CHARM VILLAGE LLC NPI is 1225397011. The provider is registered as an organization entity type.
The provider's business location address is:
7212 US 31 S
INDIANAPOLIS, IN
ZIP 46227-549
Phone: (317) 889-9822
Fax: (317) 889-6500
The provider's authorized official is C. Diederick Van Der Velde .
The authorized official title is President and has the following contact phone number (502) 500-7798.
The CLIA number assigned to this NPI record is 15D1015439 - other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/14/2012 and was last updated on 5/14/2012.