Qhg of Fort Wayne Company LLC

NPI #1952349896 in Huntington, Indiana

Provider Information

NPI Number: 1952349896
Entity Type: Organization
Organization Name: Qhg of Fort Wayne Company LLC
Primary Specialty: General Practice
Enumeration Date: Jun 3, 2006
Last Updated: Oct 14, 2008

Practice Location

Address: 1415 FLAXMILL RD
City: Huntington
State: Indiana
ZIP Code: 46750-8806
Phone: (260) 359-1250

Authorized Official

Name: DEBBIE T BREWER
Title: DIRECTOR OF PROVIDER ENROLLMENT
Phone: (615) 465-7626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Physical Therapy — Physical Therapy	261QP2000X
General Practice	208D00000X	Primary

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