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Organization

UNTANGLED LLC

Active
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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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