NPI 1043381106
Fresh New Start
Practice location
- Address
- 1934 NW Main St, Decatur, IN 46733-8766
- Phone
- (260) 701-1934
- Fax
- (260) 724-2511
Authorised official
- Name
- Sharlene K Wetendorf
- Title
- Owner
- Phone
- (260) 701-1934
Registered specialties
Health Maintenance Organization
Primary
Registry record
- NPI
- 1043381106
- Entity type
- Organization
- NPI issued
- 12 Nov 2006
- Record last updated
- 22 Aug 2020
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.