Organization · Type 2 NPI

KGC Operator, Inc.

Assisted Living Facility · Bloomington, IN

NPI number 1124717012 Active

Practice location

3802 S Sare Rd
Bloomington, IN 47401-4794

Call (812) 330-0885 Map

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: 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.

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About NPI 1124717012

KGC Operator, Inc.'s National Provider Identifier is 1124717012, issued on May 5, 2023. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Bloomington, IN. The record was last updated on Apr 28, 2025.