Organization
FRESH NEW START LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARLENE KAY WETENDORF (OWNER)
(260) 724-2511
Entity
Organization
Contact information
Practice address
1934 NW MAIN ST, DECATUR, IN 46733-8766
(260) 724-2511
(260) 724-2511
Mailing address
1934 NW MAIN ST, DECATUR, IN 46733-8766
(260) 724-2511
(260) 724-2511
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/26/2007
Last updated
11/26/2007
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