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1316763741
FOR A SUCH TIME
FORT WAYNE, IN
NPI
1316763741
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Entity Type
Organization
Authorized Contact
DOMINIQUE NETTLES
CEO
260-312-9492
Organization Subpart ?
No
Primary Taxonomy
253Z00000X In Home Supportive Care
Enumeration Date
2024-12-02
Last Update Date
2024-12-02
Business Address
FOR A SUCH TIME
431 DALMAN AVE
FORT WAYNE, IN 46806-4011
Phone number: 260-312-9492
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Mailing Address
FOR A SUCH TIME
431 DALMAN AVE
FORT WAYNE, IN 46806-4011
Phone number:
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