Ent Realty Corp
NPI #1588640353 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1588640353
- Entity Type
- Organization
- Organization Name
- Ent Realty Corp
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Dec 22, 2005
- Last Updated
- Nov 18, 2021
Practice Location
- Address
- 7900 W JEFFERSON BLVD
- Address 2
- SUITE 102
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46804-4128
- Phone
- (260) 432-4368
Authorized Official
- Name
- HOLLY THOMPSON
- Title
- CEO
- Phone
- (260) 207-1675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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