Organization
MAPLE SEED FARMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHA ANN KACSOR (EXECUTIVE DIRECTOR)
(260) 489-1774
Entity
Organization
Contact information
Practice address
101 W DUPONT RD, FORT WAYNE, IN 46825-1915
(260) 489-1774
(260) 489-1777
Mailing address
101 W DUPONT RD, FORT WAYNE, IN 46825-1915
(260) 489-1774
(260) 489-1777
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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