Wickshire West Lafayette Opco LLC
NPI #1457990848 in West Lafayette, Indiana
Provider Information
- NPI Number
- 1457990848
- Entity Type
- Organization
- Organization Name
- Wickshire West Lafayette Opco LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jan 2, 2020
- Last Updated
- Jan 2, 2020
Practice Location
- Address
- 3575 SENIOR PLACE
- City
- West Lafayette
- State
- Indiana
- ZIP Code
- 47906
- Phone
- (765) 607-6354
Authorized Official
- Name
- MR. DANIEL OKEEFE, JD
- Title
- CEO
- Phone
- (615) 942-0240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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