Organization
VIBRA HOSPITAL OF FORT WAYNE, LLC
Active
Other names
Vibra Hospital of Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINT T. FEGAN (SEC/TREAS)
(717) 591-5700
Entity
Organization
Contact information
Practice address
2200 RANDALLIA DR, 5TH FLOOR, FORT WAYNE, IN 46805-4638
(260) 399-2900
(260) 399-2958
Mailing address
5 EAST RIVER PARK PLACE E #460, FRESNO, CA 93720-1560
(559) 892-2500
(559) 892-2442
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
100121321
IN
Other
Enumeration date
01/10/2007
Last updated
12/14/2018
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