Organization
ADVANCE CARE SERVICES FTW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHAVON LOFTON (MANAGER)
(260) 467-9649
Entity
Organization
Contact information
Practice address
8196 COMMUNITY LN, FORT WAYNE, IN 46819-2048
(260) 467-9649
Mailing address
8196 COMMUNITY LN, FORT WAYNE, IN 46819-2048
(260) 467-9649
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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