Possibilities Northeast, Llc | |
808 Mill Lake Road Fort Wayne IN 46845-6400 | |
(260) 338-1241 | |
(260) 338-1231 |
Full Name | Possibilities Northeast, Llc |
---|---|
Speciality | Clinic/center - Multi-specialty |
Location | 808 Mill Lake Road, Fort Wayne, Indiana |
Authorized Official Name and Position | Nancy Moore (DIRECTOR) |
Authorized Official Contact | 2603381241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Possibilities Northeast, Llc 808 Mill Lake Road Fort Wayne IN 46845-6400 Ph: (260) 338-1241 | Possibilities Northeast, Llc 808 Mill Lake Road Fort Wayne IN 46845-6400 Ph: (260) 338-1241 |
NPI Number | 1063616340 |
---|---|
Provider Enumeration Date | 06/12/2007 |
Last Update Date | 09/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063616340 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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