Organization
GLASSWATER CREEK OF LAFAYETTE, LLC
Active
Other names
GLASSWATER CREEK OF LAFAYETTE
Organization subpart
No
Provider details
NPI number
Authorized official
GREG ECHOLS (CO-PRESIDENT OF MANAGEMENT AGENT)
(815) 935-1992
Entity
Organization
Contact information
Practice address
208 BECK LN, LAFAYETTE, IN 47909
(765) 477-1140
(765) 477-1160
Mailing address
200 E COURT ST STE 400, KANKAKEE, IL 60901-3848
(815) 935-1992
(815) 935-8380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
09/18/2024
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