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Organization

ZEEDUB LLC

Active
Other names
Brightstar of Fort Wayne
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVE FREDRICK ZISHKA (CEO)
(260) 918-0933
Entity
Organization

Contact information

Practice address
4807 ILLINOIS RD, FORT WAYNE, IN 46804-1165
(260) 918-0933
(260) 918-0931
Mailing address
4807 ILLINOIS RD, FORT WAYNE, IN 46804-1165
(260) 918-0933
(260) 918-0931

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
APPLICATION PENDING
IN

Other

Enumeration date
08/05/2010
Last updated
08/05/2010
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