Whalio Doctors

NPI 1336958974

Bright Beginnings1

Organisation Mental Illness Intermediate Care Facility Fort Wayne, IN

Practice location

Address
3120 Broadway, Fort Wayne, IN 46807-1509
Phone
(260) 704-5466
Mailing address
811 E Pontiac St, Fort Wayne, IN 46803-3459

Authorised official

Name
Kronda Huddleston
Title
Owner
Phone
(260) 704-5466

Registered specialties (4)

Mental Illness Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310500000X
Registered Nurse
Nursing Service Providers Taxonomy 163W00000X
Nursing Care Agency
Agencies Taxonomy 251J00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X

Registry record

NPI
1336958974
Entity type
Organization
NPI issued
7 Jan 2025
Record last updated
14 Jan 2025

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.