Organization
UNIVERSITY PLACE, INC
Active
Other names
University Place Health Center and Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDY AMIANO (PRESIDENT AND C.E.O.)
(331) 318-5200
Entity
Organization
Contact information
Practice address
1750 LINDBERG RD, WEST LAFAYETTE, IN 47906-4956
(765) 464-5600
(765) 464-5605
Mailing address
1700 LINDBERG RD, WEST LAFAYETTE, IN 47906-7317
(765) 464-5600
(765) 464-5605
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
050036731
IN
314000000X
Skilled Nursing Facility
Primary
080036731
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450890A
—
IN
Enumeration date
06/30/2005
Last updated
02/28/2020
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