Organization
JARPOLE ENTERPRISES LLC
Active
Other names
Fort Wayne Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ASHPOLE (OWNER)
(574) 377-8643
Entity
Organization
Contact information
Practice address
310 E DUPONT RD, FORT WAYNE, IN 46825-8000
(574) 377-8643
Mailing address
310 E DUPONT RD, FORT WAYNE, IN 46825-8000
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
IN
Other
Enumeration date
02/05/2018
Last updated
02/08/2018
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