IndividualActive
Diagentry Lewis
NPI 1316776180 · Personal Care Attendant · Fort Wayne, IN
Provider details
- NPI number
- 1316776180
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 017610 (IN)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
5800 Fairfield Ave Ste 130
Fort Wayne, IN 46807-3440
Phone: (260) 203-8800
Approximate (ZIP-level) locationGet directions
Mailing address
5800 Fairfield Ave Ste 130
Fort Wayne, IN 46807-3440
Registry dates
- Enumerated
- 2024-07-30
- Last updated
- 2024-07-30
- Certified
- 2024-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.