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Organization

FT WAYNE IN OPCO 2 LLC

Active
Other names
The Terrace
Organization subpart
No

Provider details

NPI number
Authorized official
AARON KASPER (MANAGER)
(646) 450-6051
Entity
Organization

Contact information

Practice address
4730 E STATE BLVD, FORT WAYNE, IN 46815-6975
(260) 484-0308
Mailing address
4730 E STATE BLVD, FORT WAYNE, IN 46815-6975

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
04/03/2025
Last updated
04/03/2025
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