NPI 1194778001

State of Indiana Auditor of State

Organisation Nursing Facility/Intermediate Care Facility West Lafayette, IN

Practice location

Address: 3851 N River Rd, West Lafayette, IN 47906-3765
Phone: (765) 463-1502
Fax: (765) 497-8001

Authorised official

Name: Linda Sharp
Title: Superintendent
Phone: (765) 463-1502

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 140011341 (IN)

Other Nursing Facility/Intermediate Care Facility providers in Indiana →

Registry record

NPI: 1194778001
Entity type: Organization
NPI issued: 19 May 2006
Record last updated: 28 Feb 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.