| NPI | 1700833670 |
|---|---|
| Doing Business As | LIFE CARE CENTER OF FORT WAYNE |
| Entity Type | Organization |
| Authorized Contact | CINDY CROSS Assist Secretary 423-473-5867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: IN 05000167) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2019-04-09 |