15D2145864 CLIA NUMBER - SILVER BIRCH OF MUNCIE

Laboratory Demographics

CLIA Number: 15D2145864

Facility Name: SILVER BIRCH OF MUNCIE

Facility Address:
2500 WEST KILGORE
MUNCIE, IN
ZIP 47304
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Facility Phone Number: 765 254-0329

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1154830446

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	15D2145864
LAB Type	Assisted Living Facility
Facility Name	SILVER BIRCH OF MUNCIE
Street	2500 WEST KILGORE
City	MUNCIE
State	IN
ZIP	47304
Phone	765 254-0329
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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