person
Mr. Malcolm Sison, PT
Nursing Facility/Intermediate Care Facility in West Lafayette Bra, Indiana
NPI 1982812541

Malcolm Sison is a Nursing Facility/Intermediate Care Facility based in Lafayette, IN. Malcolm Sison practices in West Lafayette Bra, IN and has the professional credentials of PT. The NPI Number for Malcolm Sison is 1982812541 and holds a License No. 05008873A (Indiana).

The current practice location address for Malcolm Sison is 3401 Soldiers Home Rd, West Lafayette Bra, IN and can be reached out via phone at 654-463-1541.

Location: 3401 Soldiers Home Rd, West Lafayette Bra, IN, 47905-7584
person
Provider Profile Details
NPI Number
1982812541
Provider Name
Malcolm Sison
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
3401 Soldiers Home Rd, West Lafayette Bra, IN, 47905-7584
Phone Number
654-463-1541
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
State
Zip
47906-1222
Phone Number
654-463-1541
Fax Number
person
Provider Business Mailing Address Details
Address
3401 Soldiers Home Rd
City
State
Zip
47906-1222
Phone Number
654-463-1541
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
License No.
05008873A (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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