Organization
MAJOR HOSPITAL
Active
Other names
Woodview A waters Community, Elevate Woodview Living Community, Elevate Senior Living - Fort Wayne
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN M HORNER (PRESIDENT & CEO)
(317) 398-5252
Entity
Organization
Contact information
Practice address
3420 EAST STATE BOULEVARD, FORT WAYNE, IN 46733-2303
(260) 484-3120
(260) 483-4455
Mailing address
3420 EAST STATE BOULEVARD, FORT WAYNE, IN 46733-2303
(260) 484-3120
(260) 483-4455
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
050001581
IN
314000000X
Skilled Nursing Facility
Primary
14-000158-2
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100291490
—
IN
Enumeration date
10/06/2005
Last updated
03/25/2020
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