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Mr. Alfredo Enriquez JR., OT
Nursing Facility/Intermediate Care Facility in West Lafayette Bra, Indiana
NPI 1396953188

Alfredo Enriquez JR. is a Nursing Facility/Intermediate Care Facility based in West Lafayette Bra, IN. Alfredo Enriquez JR. practices in West Lafayette Bra, IN and has the professional credentials of OT. The NPI Number for Alfredo Enriquez JR. is 1396953188 and holds a License No. 31004248A (Indiana).

The current practice location address for Alfredo Enriquez JR. is 3401 Soldiers Home Rd, West Lafayette Bra, IN and can be reached out via phone at 765-463-1541.

Location: 3401 Soldiers Home Rd, West Lafayette Bra, IN, 47906-0813
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396953188
Provider Name
Alfredo Enriquez JR.
Credential
OT
Provider Entity Type
Individual
Gender
Male
Address
3401 Soldiers Home Rd, West Lafayette Bra, IN, 47906-0813
Phone Number
765-463-1541
Fax Number
Provider Enumeration Date
05/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3401 Soldiers Home Rd
City
West Lafayette Bra
State
Indiana
Zip
47906-1222
Phone Number
765-463-1541
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Soldiers Home Rd
City
West Lafayette Bra
State
Indiana
Zip
47906-1222
Phone Number
765-463-1541
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
31004248A (Indiana)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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