NPI 1093900672

Assisted Living Concepts INC

Organisation Assisted Living Facility Fort Wayne, IN

Practice location

Address: 2116 Butler Road, Fort Wayne, IN 47150
Phone: (260) 471-0944
Fax: (260) 482-7476
Mailing address: W140 N8981 Lilly Road Attn Legal Department, Menomonee Falls, WI 53051-2325

Authorised official

Name: Walter a Levonowich
Title: Vice President Controller
Phone: (262) 250-4500

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1093900672
Entity type: Organization
NPI issued: 7 Sep 2007
Record last updated: 7 Sep 2007

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.