JARPOLE ENTERPRISES LLC NPI 1437658572

NPI Information

JARPOLE ENTERPRISES LLC is a substance abuse rehabilitation facility in Fort Wayne, IN. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. JARPOLE ENTERPRISES LLC NPI is 1437658572. The provider is registered as an organization entity type.
The provider Is Doing Business As Fort Wayne Recovery Center.

The provider's business location address is:

310 E DUPONT RD
FORT WAYNE, IN
ZIP 46825-000
Phone: (574) 377-8643

The provider's authorized official is Michael Ashpole .
The authorized official title is Owner and has the following contact phone number (574) 377-8643.

The CLIA number assigned to this NPI record is 15D2144592 - other - outpatient substance abus with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2018 and was last updated on 2/8/2018.

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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