Organization
ELEVATION ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RASHIDA MUHAMMAD APRN, FNP-C (MANAGER)
(260) 452-4877
Entity
Organization
Contact information
Practice address
7521 MELODY CIR E, FORT WAYNE, IN 46816-4892
(260) 200-3804
Mailing address
6435 W JEFFERSON BLVD # 303, FORT WAYNE, IN 46804-6203
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2023
Last updated
08/27/2024
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