Fresh New Start

NPI #1043381106 in Decatur, Indiana

Provider Information

NPI Number
1043381106
Entity Type
Organization
Organization Name
Fresh New Start
Primary Specialty
Health Maintenance Organization
Enumeration Date
Nov 12, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1934 NW MAIN ST
State
Indiana
ZIP Code
46733-8766
Phone
(260) 701-1934

Authorized Official

Name
MRS. SHARLENE K WETENDORF
Title
OWNER
Phone
(260) 701-1934

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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