Organization
FRANCISCAN HEALTH LAFAYETTE
Active
Other names
Franciscan Hospice Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE E WILSON (PRESIDENT/CEO)
(765) 502-4440
Entity
Organization
Contact information
Practice address
1415 SALEM ST, SUITE 202W, LAFAYETTE, IN 47904-2099
(765) 449-5046
(765) 449-5192
Mailing address
1415 SALEM ST., SUITE 202W, LAFAYETTE, IN 47904-2099
(765) 449-5046
(765) 449-5192
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
009764
IN
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200141620
—
IN
05
—
200141620A
—
IN
Enumeration date
05/31/2005
Last updated
03/24/2017
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