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Organization

TRANSITIONS FORT WAYNE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMAR KHAMIS (CCFO)
(847) 515-1505
Entity
Organization

Contact information

Practice address
2865 E DUPONT RD, FORT WAYNE, IN 46825-1668
(847) 515-1505
Mailing address
8913 N PRAIRIE POINTE RD, PEORIA, IL 61615-1577
(847) 515-1505

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
01/25/2022
Last updated
02/18/2025
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