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Organization
WESTMINSTER VILLAGE WEST LAFAYETTE, INC
Active
Organization
WESTMINSTER VILLAGE WEST LAFAYETTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY BANE (HEALTH CARE ADMINISTRATOR)
(765) 463-7546
Entity
Organization
Contact information
Practice address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1431
(765) 463-7546
(765) 463-6846
Mailing address
2741 N SALISBURY ST, WEST LAFAYETTE, IN 47906-1431
(765) 463-7546
(765) 463-6846
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
050000931
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000230877
BLUE CROSS PROVIDER #
IN
Enumeration date
09/14/2005
Last updated
08/22/2020
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