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Southlake Tricity Rba
Custodial Care Facility in Lake Station, Indiana
NPI 1972637171

Southlake Tricity Rba is a Custodial Care Facility based in Lake Station, IN. Southlake Tricity Rba practices in Lake Station, IN. The NPI Number for Southlake Tricity Rba is 1972637171 and holds a License No. (Indiana).

The current practice location address for Southlake Tricity Rba is 2075 Ripley St, Lake Station, IN and can be reached out via phone at 219-962-9437.

Location: 2075 Ripley St, Lake Station, IN, 46405-1161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972637171
Provider Name
Southlake Tricity Rba
Credential
Provider Entity Type
Organization
Address
2075 Ripley St, Lake Station, IN, 46405-1161
Phone Number
219-962-9437
Fax Number
Provider Enumeration Date
03/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2075 Ripley St
City
Lake Station
State
Indiana
Zip
46405-1161
Phone Number
219-962-9437
Fax Number
person
Provider Business Mailing Address Details
Address
2075 Ripley St
City
Lake Station
State
Indiana
Zip
46405-1161
Phone Number
219-962-9437
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
-
Taxonomy
311Z00000X
License No.
(Indiana)
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
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