NPI 1205471927

Nss-Alf Fort Wayne LLC

Organisation Assisted Living Facility Fort Wayne, IN

Practice location

Address: 300 E Washington Blvd, Fort Wayne, IN 46802-3124
Phone: (732) 403-3151
Mailing address: 48 Pavilion Ave STE 2, Long Branch, NJ 07740-6413

Authorised official

Name: Drew Barile
Title: Member
Phone: (732) 403-3151

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1205471927
Entity type: Organization
NPI issued: 18 Nov 2019
Record last updated: 18 Nov 2019

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.