Healthcare Provider Details

I. General information

NPI: 1811805906
Provider Name (Legal Business Name): LESTER'S PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9800 CONNECTICUT DR
CROWN POINT IN
46307-7840
US

IV. Provider business mailing address

9800 CONNECTICUT DR
CROWN POINT IN
46307-7840
US

V. Phone/Fax

Practice location:
  • Phone: 219-561-7585
  • Fax:
Mailing address:
  • Phone: 219-561-7585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. DEVELYN G TORRENCE
Title or Position: MEMBER
Credential: RN
Phone: 219-561-7585