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National Mentor Healthcare, Llc
Adult Care Home Facility in Fort Wayne, Indiana
NPI 1720356082

National Mentor Healthcare, Llc is an Adult Care Home Facility based in Indianapolis, IN and is specialized in Adult Care Home. National Mentor Healthcare, Llc practices in Fort Wayne, IN. The NPI Number for National Mentor Healthcare, Llc is 1720356082 and holds a License No. (Indiana).

The current practice location address for National Mentor Healthcare, Llc is 210 Fox Orchard Run, Fort Wayne, IN and can be reached out via phone at 317-581-2380.

Location: 210 Fox Orchard Run, Fort Wayne, IN, 46260-2386
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720356082
Provider Name
National Mentor Healthcare, Llc
Credential
Provider Entity Type
Organization
Address
210 Fox Orchard Run, Fort Wayne, IN, 46260-2386
Phone Number
317-581-2380
Fax Number
Provider Enumeration Date
12/01/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200943350T 01 IN PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
210 Fox Orchard Run
City
Fort Wayne
State
Indiana
Zip
46825-6579
Phone Number
317-581-2380
Fax Number
person
Provider Business Mailing Address Details
Address
210 Fox Orchard Run
City
Fort Wayne
State
Indiana
Zip
46825-6579
Phone Number
317-581-2380
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
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Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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