Organization
PULASKI MEMORIAL HOSPITAL
Active
Other names
Majestic Care of Lafayette
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG A MALOTT (CHIEF FINANCIAL OFFICER)
(574) 946-2103
Entity
Organization
Contact information
Practice address
300 WINDY HILL DR., LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-6083
Mailing address
300 WINDY HILL DR., LAFAYETTE, IN 47905-2862
(765) 477-7791
(765) 474-6083
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266900
—
IN
05
—
100266900C
—
IN
Enumeration date
07/10/2013
Last updated
05/14/2026
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