FS
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC
Adult Day Care
OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
FORT WAYNE, IN
Licensed since
2006
Rate
—
Federal identifiers
NPI registry number1144275629
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients386
Authorized official
NameJESSICA LEE-HANSEN
TitleCFO
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