Possibilities Northeast, Llc. | |
4935 Hillegas Rd Ste 200 Fort Wayne IN 46818-1934 | |
(260) 338-1241 | |
Not Available |
Full Name | Possibilities Northeast, Llc. |
---|---|
Speciality | Speech-language Pathologist |
Location | 4935 Hillegas Rd Ste 200, Fort Wayne, Indiana |
Authorized Official Name and Position | Nancy L Moore (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 2603381241 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Possibilities Northeast, Llc. Po Box 80867 Fort Wayne IN 46898-0867 Ph: () - | Possibilities Northeast, Llc. 4935 Hillegas Rd Ste 200 Fort Wayne IN 46818-1934 Ph: (260) 338-1241 |
NPI Number | 1881734697 |
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Provider Enumeration Date | 02/08/2007 |
Last Update Date | 02/26/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881734697 | NPI | - | NPPES |
200354340A | Medicaid | IN | |
200435950A | Medicaid | IN | |
200724290A | Medicaid | IN | |
200357910A | Medicaid | IN | |
200724290 | Medicaid | IN |
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