Organization
VITA OF NEW WHITELAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETT FITZGERALD (AUTHORIZED REPRESENTATIVE / SIGNER)
(815) 935-1992
Entity
Organization
Contact information
Practice address
532 COUNTRY GATE DRIVE, NEW WHITELAND, IN 46184
(317) 463-7155
(317) 463-7156
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
04/01/2024
Last updated
07/15/2025
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