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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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