Provider Demographics
NPI:1750446290
Name:ANTHONY WAYNE REHABILITATION CENTER FOR HANDICAPPED & BLIND, INC
Entity Type:Organization
Organization Name:ANTHONY WAYNE REHABILITATION CENTER FOR HANDICAPPED & BLIND, INC
Other - Org Name:AWRC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:SWISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-744-6145
Mailing Address - Street 1:8515 BLUFFTON RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46809-3022
Mailing Address - Country:US
Mailing Address - Phone:260-744-6145
Mailing Address - Fax:260-444-0006
Practice Address - Street 1:8515 BLUFFTON RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46809-3022
Practice Address - Country:US
Practice Address - Phone:260-744-6145
Practice Address - Fax:260-444-0006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services