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1063701886
LAMPLIGHT INN OF FORT WAYNE, LLC
FORT WAYNE, IN
NPI
1063701886
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Entity Type
Organization
Authorized Contact
SEVERINE PETRAS
CEO
260-710-0304
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2011-04-01
Last Update Date
2011-04-01
Business Address
LAMPLIGHT INN OF FORT WAYNE, LLC
300 E WASHINGTON BLVD
FORT WAYNE, IN 46802-3124
Phone number: 260-422-5511
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Mailing Address
LAMPLIGHT INN OF FORT WAYNE, LLC
300 E. WASHINGTON BLVD.
FORT WAYNE, IN 46802
Phone number: 260-422-5511
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