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General NPI Number Information
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NPI Number | 1003752015
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Entity Type | Organization
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Legal Business Name | PRIME CARE ADULT DAY & WELLNESS CENTER LLC
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 101 THREE RIVERS N
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City | FORT WAYNE
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State | IN
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Zip | 46802
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Country | US
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Telephone | 313-693-3502
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Fax |
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Provider Business Mailing Address
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Address Line | 429 E DUPONT RD UNIT 2084
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City | FORT WAYNE
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State | IN
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Zip | 46825-2051
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Country | US
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Telephone | 313-693-3502
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ZAHKIYA FINN-TRUESDALE
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Credential |
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Telephone | 313-693-3502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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