Whalio Doctors

NPI 1265675698

Ls2 Ventures LLC

Organisation Developmentally Disabled Services Day Training Agency Fort Wayne, IN

Practice location

Address
2402 Beacon St, Fort Wayne, IN 46805-3808
Phone
(260) 484-4212
Fax
(260) 484-5092

Authorised official

Name
Larry Shaw
Title
Ceo
Phone
(260) 484-4212

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X

Registry record

NPI
1265675698
Entity type
Organization
NPI issued
15 Apr 2009
Record last updated
15 Apr 2009

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.