1679044960 DESTINY LIFE CENTER COG
In Home Supportive Care Agency
Active
Basic Information
- Organization Name
- DESTINY LIFE CENTER COG
- Enumeration Date
- December 11, 2018
- Last Update
- December 11, 2018
- Authorized Official
- PATRICIA JIMERSON
EXECUTIVE DIRECTOR
Phone: (260) 557-6183
Practice Location
- Address
- 518 E JEFFERSON BLVD
FORT WAYNE, IN 468023204 - Phone
- (260) 557-6183
Mailing Address
- Address
- 518 E JEFFERSON BLVD
FORT WAYNE, IN 468023204 - Phone
- (260) 557-6183
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Meals Provider | 174200000X | Meals | N/A | N/A | No |
| Lodging Provider | 177F00000X | Lodging | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | No |
| In Home Supportive Care Agency | 253Z00000X | In Home Supportive Care | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05 | 05 | IN | N/A |
| 35257218 | 01 | IN | RECOVERY WORKS HOUSING |
Frequently Asked Questions
What is DESTINY LIFE CENTER COG's NPI number?
DESTINY LIFE CENTER COG's NPI number is 1679044960.
Which doctor has NPI number 1679044960?
The doctor with NPI number 1679044960 is DESTINY LIFE CENTER COG.
What is DESTINY LIFE CENTER COG's practice address?
DESTINY LIFE CENTER COG's practice address is 518 E JEFFERSON BLVD, FORT WAYNE, IN, 468023204.
Which doctor practices at 518 E JEFFERSON BLVD, FORT WAYNE, IN, 468023204?
DESTINY LIFE CENTER COG practices at 518 E JEFFERSON BLVD, FORT WAYNE, IN, 468023204.
What is DESTINY LIFE CENTER COG's phone number?
DESTINY LIFE CENTER COG's phone number is (260) 557-6183.
Who is (260) 557-6183?
(260) 557-6183 is the phone number for DESTINY LIFE CENTER COG.
What is DESTINY LIFE CENTER COG's specialty?
DESTINY LIFE CENTER COG's specialty is In Home Supportive Care Agency.
What type of doctor is DESTINY LIFE CENTER COG?
DESTINY LIFE CENTER COG is a In Home Supportive Care Agency.
Is DESTINY LIFE CENTER COG a In Home Supportive Care?
Yes, DESTINY LIFE CENTER COG is a In Home Supportive Care.
Is DESTINY LIFE CENTER COG still practicing?
Yes, DESTINY LIFE CENTER COG is currently practicing.
Is DESTINY LIFE CENTER COG accepting new patients?
DESTINY LIFE CENTER COG may be accepting new patients. Please call their office at (260) 557-6183 to inquire about availability.
Is NPI 1679044960 still active?
Yes, NPI 1679044960 is currently active.
Where does DESTINY LIFE CENTER COG practice?
DESTINY LIFE CENTER COG practices in FORT WAYNE, IN.