SOUTH BEND ASSISTED LIVING LLC NPI 1801014147

NPI Information

SOUTH BEND ASSISTED LIVING LLC is an assisted living facility in South Bend, 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. SOUTH BEND ASSISTED LIVING LLC NPI is 1801014147. The provider is registered as an organization entity type.
The provider Is Doing Business As Dba Wood Ridge Assisted Living Community.

The provider's business location address is:

17650 GENERATIONS DR
SOUTH BEND, IN
ZIP 46635-536
Phone: (574) 271-1151
Fax: (571) 271-2812

The provider's authorized official is Judith Elaine Hoese .
The authorized official title is Administrator and has the following contact phone number (574) 271-1151.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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