Provider Demographics
NPI:1376998104
Name:FRANCISCAN SENIOR HEALTH AND WELLNESS DYER
Entity Type:Organization
Organization Name:FRANCISCAN SENIOR HEALTH AND WELLNESS DYER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WASCHEVSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-782-8012
Mailing Address - Street 1:2150 GETTLER ST STE 305
Mailing Address - Street 2:
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-2380
Mailing Address - Country:US
Mailing Address - Phone:219-864-2630
Mailing Address - Fax:219-864-2637
Practice Address - Street 1:2150 GETTLER ST STE 305
Practice Address - Street 2:
Practice Address - City:DYER
Practice Address - State:IN
Practice Address - Zip Code:46311-2380
Practice Address - Country:US
Practice Address - Phone:219-864-2630
Practice Address - Fax:219-864-2637
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANCISCAN ST. MARGARET HAMMOND
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-04-29
Last Update Date:2016-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization