Organization
GREATER LAFAYETTE HEALTH SERVICES
Active
Other names
Franciscan St. Elizabeth Health-Lafayette Central
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE E WILSON (PRESIDENT/CEO)
(765) 502-4440
Entity
Organization
Contact information
Practice address
1260 N 17TH ST, LAFAYETTE, IN 47904-2163
(765) 423-6885
Mailing address
1260 N 17TH ST, LAFAYETTE, IN 47904-2163
(765) 423-6885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/17/2011
Last updated
07/20/2011
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