Emeritus Properties Ngh, LLC
Assisted Living Facility in Fort Wayne, IN. Organization (NPI-2).
NPI number1285961722
StatusActive
Last updated in NPPESNov 4, 2009
Details
- NPI
- 1285961722
- Entity type
- Organization (NPI-2)
- Legal business name
- Emeritus Properties Ngh, LLC
- Organization subpart
- Yes
- Enumeration date
- Nov 4, 2009
- Last updated
- Nov 4, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 088-003273-1 | IN | Yes |
| 311500000X | Alzheimer Center (Dementia Center) | 08-003273-1 | IN |
Other names
- Village Oaks At Fort Wayne (Doing Business As)
Practice location
4730 E State BlvdFort Wayne, IN 46815-6975
Phone 260-484-0308 · Fax 260-471-6665
Mailing address
3131 Elliott AveSuite 500
Seattle, WA 98121-1044
Phone 206-298-2909 · Fax 206-301-4500
Authorized official
Noelle Diaz Bickel
Licensing Specialist
2062982909
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