| Phoenix Social Work Center, Inc. | |
|
2200 Lake Ave Ste 240 Fort Wayne IN 46805-5397 | |
| (260) 424-0411 | |
| (260) 424-3530 |
| Full Name | Phoenix Social Work Center, Inc. |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 2200 Lake Ave Ste 240, Fort Wayne, Indiana |
| Authorized Official Name and Position | John W Blanks (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2604240411 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Social Work Center, Inc. 2200 Lake Ave Ste 240 Fort Wayne IN 46805-5397 Ph: (260) 424-0411 | Phoenix Social Work Center, Inc. 2200 Lake Ave Ste 240 Fort Wayne IN 46805-5397 Ph: (260) 424-0411 |
| NPI Number | 1518700772 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518700772 | NPI | - | NPPES |
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