| NPI | 1083036974 |
|---|---|
| Doing Business As | CSL FORT WAYNE, LLC |
| Entity Type | Organization |
| Authorized Contact | DAN KENYON VP And Secretary 972-770-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 13-012107-1) |
| Enumeration Date | 2014-01-10 |
| Last Update Date | 2014-01-10 |