Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SOUTHLAKE TRICITY RBA
Active OrganizationSOUTHLAKE TRICITY RBA is a Custodial Care Facility organization located in LAKE STATION, Indiana. NPI 1972637171 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · LAKE STATION, IN
Registration Details
- NPI Number
- 1972637171
- Provider Type
- Organization
- NPI Issued
- Mar 16, 2007 (19.424463298775 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
2075 RIPLEY STLAKE STATION, IN, 464051161Browse IN providers · Browse ZIP 46405
- Phone
- 2199629437
- Primary Specialty
-
Custodial Care Facility
311Z00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.