15D1071013 CLIA NUMBER - WINDSOR RIDGE ASSISTED LIVING

Laboratory Demographics

CLIA Number: 15D1071013

Facility Name: WINDSOR RIDGE ASSISTED LIVING

Facility Address:
2700 WATERS EDGE PKWY
JEFFERSONVILLE, IN
ZIP 47130
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Facility Phone Number: 812 284-4336

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1154522324

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	15D1071013
LAB Type	Other
Facility Name	WINDSOR RIDGE ASSISTED LIVING
Street	2700 WATERS EDGE PKWY
City	JEFFERSONVILLE
State	IN
ZIP	47130
Phone	812 284-4336
CertificateType	4
CertificateEffectiveDate	7/16/2023
CertificateExpirationDate	7/15/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024