# FRESH NEW START LLC

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

## Provider details

- **NPI number:** 1467633081
- **Authorized official:** MRS. SHARLENE KAY WETENDORF (OWNER)
- **Authorized official phone:** (260) 724-2511

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007