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Organization

FORTE RESIDENTIAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELANNA VAN METER (PRESIDENT)
(574) 549-9961
Entity
Organization

Contact information

Practice address
120 S LAKE ST, WARSAW, IN 46580-2850
(574) 528-6398
Mailing address
120 S LAKE ST STE 100, WARSAW, IN 46580-2850
(574) 549-9961
(866) 757-6066

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1436
STATE FUNDING PROVIDER #
IN
05
200037790 A
IN
Enumeration date
10/13/2006
Last updated
10/23/2025
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