Provider Demographics
NPI:1609606482
Name:WEST LAFAYETTE ALF OPERATIONS LLC
Entity type:Organization
Organization Name:WEST LAFAYETTE ALF OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CEAIRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRASHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-591-2785
Mailing Address - Street 1:3575 SENIOR PL
Mailing Address - Street 2:
Mailing Address - City:WEST LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47906-8658
Mailing Address - Country:US
Mailing Address - Phone:937-591-2785
Mailing Address - Fax:
Practice Address - Street 1:3575 SENIOR PL
Practice Address - Street 2:
Practice Address - City:WEST LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47906-8658
Practice Address - Country:US
Practice Address - Phone:937-591-2785
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility