LAMPLIGHT INN OF FORT WAYNE LLC NPI 1063701886

NPI Information

LAMPLIGHT INN OF FORT WAYNE, LLC is an assisted living facility in Fort Wayne, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. LAMPLIGHT INN OF FORT WAYNE, LLC NPI is 1063701886. The provider is registered as an organization entity type.

The provider's business location address is:

300 E WASHINGTON BLVD
FORT WAYNE, IN
ZIP 46802-124
Phone: (260) 422-5511
Fax: (260) 422-3778

The provider's authorized official is Severine Petras .
The authorized official title is Ceo and has the following contact phone number (260) 710-0304.

The enumeration date for this NPI number is 4/1/2011 and was last updated on 4/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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