NPI | 1285961722 |
---|---|
Doing Business As | VILLAGE OAKS AT FORT WAYNE |
Entity Type | Organization |
Authorized Contact | NOELLE DIAZ BICKEL Licensing Specialist 206-298-2909 |
Organization Subpart ? | Yes |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: IN 088-003273-1) |
Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: IN 08-003273-1) |
Enumeration Date | 2009-11-04 |
Last Update Date | 2009-11-04 |