Organization · Type 2 NPI
Kingston Residence of Fort Wayne, LLC
Assisted Living Facility · Fort Wayne, IN
NPI number
1316778780
Active
Practice location
7515 Winchester Rd
Fort Wayne, IN 46819-2257
Mailing address
1 Seagate Ste 1960
Toledo, OH 43604-1592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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About NPI 1316778780
Kingston Residence of Fort Wayne, LLC's National Provider Identifier is 1316778780, issued on Aug 8, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 8, 2024.