Fresh New Start Llc in Decatur - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Fresh New Start Llc - NPI 1467633081
Fresh New Start Llc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Decatur, Indiana. Fresh New Start Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Fresh New Start Llc is 1467633081. The last update date is 2007-11-26.
Fresh New Start Llc's current location address is 1934 Nw Main St, Decatur, Indiana. You can contact this provider via phone number 2607242511 and fax number 2607242511. The mailing address for Fresh New Start Llc is 1934 Nw Main St, Decatur, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fresh New Start Llc |
|---|---|
| Address | 1934 Nw Main St, Decatur, Indiana |
| Phone Number | 2607242511 |
| Fax Number | 2607242511 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wetendorf Kay Sharlene |
| Telephone Number | 2607242511 |
NPI Number Detail
| NPI Number | 1467633081 |
|---|---|
| Provider Enumeration Date | 2007-11-26 |
| Last Updated Date | 2007-11-26 |
Provider Mailing Address Detail
| Address | 1934 Nw Main St |
|---|---|
| City | Decatur |
| State | Indiana (IN) |
| Post Code | 467338766 |
| Phone Number | 2607242511 |
| Fax Number | 2607242511 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
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Post Comment/ Review Below
What is the unique identifier code issued to Fresh New Start Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Fresh New Start Llc has been assigned the NPI (National Provider Identifier) 1467633081. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Fresh New Start Llc located?
The Fresh New Start Llc is located at 1934 Nw Main St, Decatur, IN 467338766.
What is the Fresh New Start Llc's specialty and taxonomy code?
The Fresh New Start Llc's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.
When did the Fresh New Start Llc receive its 1467633081?
The Fresh New Start Llc was issued its 1467633081 on 2007-11-26, which is the date when the organization was assigned this unique identifier.
When was the information regarding Fresh New Start Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fresh New Start Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-26.