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General NPI Number Information
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NPI Number | 1811970569
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Entity Type | Organization
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Legal Business Name | RETIREMENT LIVING, INC.
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 08/28/2019
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Provider Practice Location Address
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Address Line | 8140 TOWNSHIP LINE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5824
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Country | US
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Telephone | 317-875-9700
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Fax | 317-875-7504
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Provider Business Mailing Address
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Address Line | 8140 TOWNSHIP LINE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-5824
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Country | US
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Telephone | 317-875-9700
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Fax | 317-875-7504
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Authorized Official
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Title or Position | PRESIDENT
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Name | KEITH J DETRUDE
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Credential |
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Telephone | 317-573-3895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 05-000105-1
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License Number State | IN
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