OrganizationActive
Possibilities Northeast, LLC
NPI 1063616340 · Multi-Specialty Clinic/Center · Fort Wayne, IN
Provider details
- NPI number
- 1063616340
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nancy Moore, Director(260) 338-1241
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
808 Mill Lake Road
Fort Wayne, IN 46845-6400
Phone: (260) 338-1241
Fax: (260) 338-1231
Approximate (ZIP-level) locationGet directions
Mailing address
808 Mill Lake Road
Fort Wayne, IN 46845-6400
Registry dates
- Enumerated
- 2007-06-12
- Last updated
- 2007-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.