Select Specialty Hospital - Fort Wayne Inc

NPI 1104825140 - Long Term Care Hospital - 282E00000X

NPI Details
NPI 1104825140
Enumeration Date 07/20/2005
Last Updated 09/02/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MICHAEL E. MICHAEL
Position VICE PRESIDENT
Phone (260) 425-3811
Fax (260) 425-3812
Practice Location
700 BROADWAY
7TH FL EAST
FORT WAYNE IN, 46802-1402, US
Phone (260) 425-3811
Fax (260) 425-3812
Business Location
4714 GETTYSBURG RD
LEGAL DEPT.
MECHANICSBURG PA, 17055-4325, US
Phone (717) 972-1100
Fax (717) 975-9981
Toxanomy
Taxonomy Code 282E00000X
License State Indiana
License Number 009856
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According to our database, Select Specialty Hospital - Fort Wayne Inc NPI is 1104825140, taxonomy code is 282E00000X and license number is 009856, license state is located at Indiana. Select Specialty Hospital - Fort Wayne Inc physically located at 700 Broadway, Fort Wayne IN, 46802-1402. NPI Number 1033115704 has the healthcare provider type.

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1104825140 NPI number is provided on an as is basis without warranty of any kind. 1104825140 is maintained by the National Plan & Provider Enumeration System. The contents of Select Specialty Hospital - Fort Wayne Inc are for informational purposes only.