Organization
WICKSHIRE WEST LAFAYETTE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL OKEEFE JD (CEO)
(615) 942-0240
Entity
Organization
Contact information
Practice address
3575 SENIOR PLACE, WEST LAFAYETTE, IN 47906
(765) 607-6354
(765) 464-8529
Mailing address
750 OLD HICKORY BLVD, BUILDING ONE SUITE 125, BRENTWOOD, TN 37027
(615) 942-0240
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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