Organization
COMMUNITY LIVING RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AARON SHAPIRO (CFO)
(260) 745-1200
Entity
Organization
Contact information
Practice address
2927 LAKE AVE, FORT WAYNE, IN 46805-5415
(260) 745-1200
(260) 745-5968
Mailing address
2927 LAKE AVE, FORT WAYNE, IN 46805-5415
(260) 745-1200
(260) 745-5968
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
06/17/2015
Last updated
02/02/2018
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