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Organization
STATE OF INDIANA AUDITOR OF STATE
Active
Organization
STATE OF INDIANA AUDITOR OF STATE
Active
Other names
Indiana Veterans' Home
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SHARP (SUPERINTENDENT)
(765) 463-1502
Entity
Organization
Contact information
Practice address
3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3765
(765) 463-1502
(765) 497-8001
Mailing address
3851 N RIVER RD, WEST LAFAYETTE, IN 47906-3765
(765) 463-1502
(765) 497-8001
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
140011341
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200817200
—
IN
Enumeration date
05/19/2006
Last updated
02/28/2014
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