Organization
FT WAYNE OPCO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON KASPER (MEMBER)
(646) 450-6051
Entity
Organization
Contact information
Practice address
300 E WASHINGTON BLVD, FORT WAYNE, IN 46802-3124
(260) 422-5511
Mailing address
456A CENTRAL AVE STE 115, CEDARHURST, NY 11516-1907
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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