NPI 1063701886
Lamplight Inn of Fort Wayne, LLC
Practice location
- Address
- 300 E Washington Blvd, Fort Wayne, IN 46802-3124
- Phone
- (260) 422-5511
- Fax
- (260) 422-3778
- Mailing address
- 300 E. Washington Blvd., Fort Wayne, IN 46802
Authorised official
- Name
- Severine Petras
- Title
- Ceo
- Phone
- (260) 710-0304
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1063701886
- Entity type
- Organization
- NPI issued
- 1 Apr 2011
- Record last updated
- 1 Apr 2011
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.