- Facility Name
- LAKE MEADOWS LICENSEE LLC
- Type / Classification
- Assisted Living Facility
- Address
- 11570 E 126TH STREET, FISHERS, IN 46037
- Phone Number
- (260) 413-4159
- NPI Number
- 1659994200
- Authorized Official
- RYAN PERSON (Director of Business Development)
- Enumeration Date
- 2020-05-18