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Organization
VIBRA HOSPITAL OF FORT WAYNE, LLC
Active
Organization
VIBRA HOSPITAL OF FORT WAYNE, LLC
Active
Other names
Vibra Hospital of Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT T. FEGAN (SEC/TREAS)
(717) 591-5700
Entity
Organization
Contact information
Practice address
2200 RANDALLIA DR, 5TH FLOOR, FORT WAYNE, IN 46805-4638
(260) 399-2900
(260) 399-2958
Mailing address
5 EAST RIVER PARK PLACE E #460, FRESNO, CA 93720-1560
(559) 892-2500
(559) 892-2442
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
100121321
IN
Other
Enumeration date
01/10/2007
Last updated
12/14/2018
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