Organization
FRANCISCAN ST. ELIZABETH HEALTH
Active
Other names
St. Elizabeth Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE E WILSON (CHIEF EXECUTIVE OFFICER)
(765) 502-4000
Entity
Organization
Contact information
Practice address
1415 SALEM ST, SUITE 202W, LAFAYETTE, IN 47904-4100
(765) 449-5046
Mailing address
1415 SALEM ST, SUITE 202W, LAFAYETTE, IN 47904-4100
(765) 449-5046
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
060050961
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100263950A
—
IN
Enumeration date
10/18/2006
Last updated
03/27/2013
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