Organization
UNTANGLED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ARNOLD (BILLING MANGER)
(260) 387-6340
Entity
Organization
Contact information
Practice address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6340
(260) 387-6384
Mailing address
10315 DAWSONS CREEK BLVD STE E, FORT WAYNE, IN 46825-1912
(260) 387-6340
(260) 387-6384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/10/2021
Last updated
08/10/2021
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