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Organization

HEIRS RESIDENTIAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OGHENEKARO MACAULAY (OWNER)
(417) 493-4825
Entity
Organization

Contact information

Practice address
2708 LYKEWAY CT, FORT WAYNE, IN 46808-3846
(417) 493-4825
Mailing address
2708 LYKEWAY CT, FORT WAYNE, IN 46808-3846
(417) 493-4825

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/09/2026
Last updated
05/09/2026
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