Organization · Type 2 NPI
Brightstar Senior Living Operations of Fort Wayne, LLC
Assisted Living Facility · Fort Wayne, IN
NPI number
1639832405
Active
Practice location
11430 Coldwater Rd
Fort Wayne, IN 46845-1253
Mailing address
1125 Tri State Pkwy Ste 700
Gurnee, IL 60031-9177
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Alzheimer Center (Dementia Center) | 311500000X | 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 1639832405
Brightstar Senior Living Operations of Fort Wayne, LLC's National Provider Identifier is 1639832405, issued on Oct 19, 2021. 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 Oct 19, 2021.