ALFREDO ENRIQUEZ

WEST LAFAYETTE BRA, IN
NPI1396953188
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy313M00000X Nursing Facility/Intermediate Care Facility
(Licence: IN  31004248A)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
Mr. ALFREDO ENRIQUEZ O.T.
3401 SOLDIERS HOME RD
WEST LAFAYETTE BRA, IN 47906-1222
Phone number: 765-463-1541
Mailing Address
Mr. ALFREDO ENRIQUEZ O.T.
3576 CAVENDISH CT
WEST LAFAYETTE BRA, IN 47906-0813
Phone number: 765-743-2253
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