NPI 1023432192
Act 3 Care LLC
Practice location
- Address
- 7309 Trier Rd, Fort Wayne, IN 46815-5566
- Phone
- (260) 515-3275
Authorised official
- Name
- Shannon Pace
- Title
- Office Manager
- Phone
- (334) 291-8360
Registered specialties (2)
Geriatric Medicine (Family Medicine) Physician
Primary
Geriatric Medicine (Internal Medicine) Physician
Registry record
- NPI
- 1023432192
- Entity type
- Organization
- NPI issued
- 10 Feb 2014
- Record last updated
- 18 Jul 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.