Organization
PARK PLACE SENIOR LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LACHELE R HENKLE WEAVER HFA, MBA (DIRECTOR OF OPERATIONS)
(317) 258-7031
Entity
Organization
Contact information
Practice address
4411 PARK PLACE DR, FORT WAYNE, IN 46845-8793
(260) 480-2500
Mailing address
4411 PARK PLACE DR, FORT WAYNE, IN 46845-8793
(260) 480-2500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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