| NPI | 1033132477 |
|---|---|
| Doing Business As | THE WATERS OF FORT WAYNE SKILLED NURSING FACILITY |
| Entity Type | Organization |
| Authorized Contact | DAVID DUNKLE President/CEO 317-736-3396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05-000214-2) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2023-01-30 |