# FRESH NEW START

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043381106
- **Authorized official:** MRS. SHARLENE K WETENDORF (OWNER)
- **Authorized official phone:** (260) 701-1934

## Contact information

- **Practice address:** 1934 NW MAIN ST, DECATUR, IN 46733-8766
- **Practice address phone:** (260) 701-1934
- **Practice address fax:** (260) 724-2511
- **Mailing address:** 1934 NW MAIN ST, DECATUR, IN 46733-8766
- **Mailing address phone:** (260) 701-1934
- **Mailing address fax:** (260) 724-2511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | IN | Yes |

## Other

- **Enumeration date:** 11/12/2006
- **Last updated:** 08/22/2020