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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

611 W COUNTY LINE RD SOUTH TENANT LLC

Active Organization

611 W COUNTY LINE RD SOUTH TENANT LLC is a Assisted Living Facility organization located in FORT WAYNE, Indiana. NPI 1366256794 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · FORT WAYNE, IN

Registration Details

NPI Number
1366256794
Provider Type
Organization
NPI Issued
Feb 5, 2025 (1.5422748273162 yrs)
Last Updated
Feb 5, 2025

Practice Information

Address
611 W COUNTY LINE RD S
FORT WAYNE, IN, 468147592
Browse IN providers · Browse ZIP 46814
Phone
2606254025
Primary Specialty
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.