NPI 1285135244

Glasswater Creek of Lafayette, LLC

Organisation Assisted Living Facility Lafayette, IN

Practice location

Address: 208 Beck Ln, Lafayette, IN 47909
Phone: (765) 477-1140
Fax: (765) 477-1160
Mailing address: 200 E Court St STE 400, Kankakee, IL 60901-3848

Authorised official

Name: Greg Echols
Title: Co-President of Management Agent
Phone: (815) 935-1992

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1285135244
Entity type: Organization
NPI issued: 26 Feb 2018
Record last updated: 18 Sep 2024

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.